Provider Demographics
NPI:1962128504
Name:INSIGHT MENTAL HEALTH COUNSELING PLLC
Entity type:Organization
Organization Name:INSIGHT MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHKAZARI
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LPC-MHSP
Authorized Official - Phone:847-440-4560
Mailing Address - Street 1:1603 ORRINGTON AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3860
Mailing Address - Country:US
Mailing Address - Phone:847-440-4901
Mailing Address - Fax:
Practice Address - Street 1:1603 ORRINGTON AVE STE 600
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3860
Practice Address - Country:US
Practice Address - Phone:847-440-4901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-14
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health