Provider Demographics
NPI:1528451218
Name:INSIGHT PSYCHOLOGICAL SERVICES, PLLC
Entity type:Organization
Organization Name:INSIGHT PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, RN
Authorized Official - Phone:214-502-9081
Mailing Address - Street 1:2124 JEFFERSON DAVIS HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554
Mailing Address - Country:US
Mailing Address - Phone:540-658-0888
Mailing Address - Fax:540-658-0855
Practice Address - Street 1:11 HOPE RD.
Practice Address - Street 2:SUITE 213
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554
Practice Address - Country:US
Practice Address - Phone:540-658-0888
Practice Address - Fax:540-658-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12707101YM0800X
TX224040101YM0800X
TX3536101YM0800X
101YM0800X
VA0701005909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty