Provider Demographics
NPI:1407672561
Name:GUIDED INSIGHT PSYCHOLOGY LLC
Entity type:Organization
Organization Name:GUIDED INSIGHT PSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BETHANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRION
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:786-860-2468
Mailing Address - Street 1:67 NW 183RD ST STE 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4516
Mailing Address - Country:US
Mailing Address - Phone:786-860-2468
Mailing Address - Fax:305-863-4233
Practice Address - Street 1:67 NW 183RD ST STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4516
Practice Address - Country:US
Practice Address - Phone:786-860-2468
Practice Address - Fax:305-863-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty