| Insight Solution & Services Limited Liability Company | |
|
4712 W Plano Pkwy # 139 Plano TX 75093-5307 | |
| (910) 977-1350 | |
| Not Available |
| Full Name | Insight Solution & Services Limited Liability Company |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4712 W Plano Pkwy # 139, Plano, Texas |
| Authorized Official Name and Position | Tammie Michelle Jones (CEO) |
| Authorized Official Contact | 9109771350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Solution & Services Limited Liability Company 3813 Denham Way Plano TX 75023-3750 Ph: (910) 977-1350 | Insight Solution & Services Limited Liability Company 4712 W Plano Pkwy # 139 Plano TX 75093-5307 Ph: (910) 977-1350 |
| NPI Number | 1457002370 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Medicare PECOS PAC ID | 8325419963 |
|---|---|
| Medicare Enrollment ID | O20230119000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457002370 | NPI | - | NPPES |
| Provider Name | Kenya Nicole Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265089320 PECOS PAC ID: 6608108360 Enrollment ID: I20191029003302 |
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