Provider Demographics
NPI:1285453175
Name:INSIGHT WITHIN PSYCHOTHERAPY
Entity type:Organization
Organization Name:INSIGHT WITHIN PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:JEFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:618-789-3152
Mailing Address - Street 1:1123 LOCUST ST STE 260
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63101-1103
Mailing Address - Country:US
Mailing Address - Phone:618-789-3152
Mailing Address - Fax:
Practice Address - Street 1:194 WALDEN DR
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:MO
Practice Address - Zip Code:63025-1128
Practice Address - Country:US
Practice Address - Phone:618-977-0831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty