| Insight Out Therapeutics, Llc | |
|
100 Lloyd Ave Ste E Tyrone GA 30290-2157 | |
| (470) 215-6101 | |
| (678) 870-2274 |
| Full Name | Insight Out Therapeutics, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Lloyd Ave Ste E, Tyrone, Georgia |
| Authorized Official Name and Position | David Preston Cox (AGENT) |
| Authorized Official Contact | 6785171826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Out Therapeutics, Llc 121 Sweetgum Rd Peachtree City GA 30269-2039 Ph: () - | Insight Out Therapeutics, Llc 100 Lloyd Ave Ste E Tyrone GA 30290-2157 Ph: (470) 215-6101 |
| NPI Number | 1578081014 |
|---|---|
| Provider Enumeration Date | 09/05/2017 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578081014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC009358 (Georgia) | Primary |
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