Provider Demographics
NPI:1992344584
Name:IMPROVED INSIGHT COUNSELING SERVICES INCORPORATED
Entity type:Organization
Organization Name:IMPROVED INSIGHT COUNSELING SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:470-361-9494
Mailing Address - Street 1:270 E MAIN ST STE M
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-2759
Mailing Address - Country:US
Mailing Address - Phone:470-361-9494
Mailing Address - Fax:
Practice Address - Street 1:270 E MAIN ST STE M
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-2759
Practice Address - Country:US
Practice Address - Phone:470-361-9494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health