| Insight Therapeutic Services, Llc | |
|
1 Perimeter Park S Ste 100n Birmingham AL 35243-3248 | |
| (205) 936-2356 | |
| (205) 273-5033 |
| Full Name | Insight Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1 Perimeter Park S Ste 100n, Birmingham, Alabama |
| Authorized Official Name and Position | Victoria Lynn Frazier (OWNER/THERAPIST) |
| Authorized Official Contact | 2059362356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Therapeutic Services, Llc 1 Perimeter Park S Ste 100n Birmingham AL 35243-3248 Ph: (205) 936-2356 | Insight Therapeutic Services, Llc 1 Perimeter Park S Ste 100n Birmingham AL 35243-3248 Ph: (205) 936-2356 |
| NPI Number | 1134669922 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Medicare PECOS PAC ID | 4486923729 |
|---|---|
| Medicare Enrollment ID | O20170630000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134669922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3720C (Alabama) | Primary |
| Provider Name | Victoria Lynn Frazier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033659800 PECOS PAC ID: 5395014633 Enrollment ID: I20170630000332 |
| Provider Name | Pamela Callaghan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669943544 PECOS PAC ID: 3173938719 Enrollment ID: I20210212001562 |
| Provider Name | Savannah Lynn Hurt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952915225 PECOS PAC ID: 3577936277 Enrollment ID: I20230228001214 |
| Provider Name | Ariel Louise Baillargeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083239388 PECOS PAC ID: 2668833245 Enrollment ID: I20230728002431 |
| Provider Name | Maxine Williford Fuller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932555711 PECOS PAC ID: 3678912169 Enrollment ID: I20240502003491 |
| Provider Name | Daniel Cole Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326792334 PECOS PAC ID: 4385186618 Enrollment ID: I20240603000525 |
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