| Insight Therapy | |
|
200 E Joppa Rd Towson MD 21286-3150 | |
| (443) 300-6905 | |
| (443) 233-0231 |
| Full Name | Insight Therapy |
|---|---|
| Speciality | Counselor |
| Location | 200 E Joppa Rd, Towson, Maryland |
| Authorized Official Name and Position | Marissa Block (CEO/FOUNDER) |
| Authorized Official Contact | 4433006905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Therapy 502 Charles Street Ave Towson MD 21204-4206 Ph: (636) 399-6160 | Insight Therapy 200 E Joppa Rd Towson MD 21286-3150 Ph: (443) 300-6905 |
| NPI Number | 1407453939 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 2769894963 |
|---|---|
| Medicare Enrollment ID | O20201211001965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407453939 | NPI | - | NPPES |
| 1104390012 | Other | INDIVIDUAL NPI |
| Provider Name | Mosunmola Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275050288 PECOS PAC ID: 6901171172 Enrollment ID: I20171014000270 |
| Provider Name | Akherenwei Gwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447670732 PECOS PAC ID: 6204150394 Enrollment ID: I20190115001673 |
| Provider Name | Olayemi Ayilegbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487249025 PECOS PAC ID: 7719379577 Enrollment ID: I20220128000400 |
| Provider Name | Timika Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053910794 PECOS PAC ID: 9335553064 Enrollment ID: I20240108006173 |
| Provider Name | Jeff Biele |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821450768 PECOS PAC ID: 9830541051 Enrollment ID: I20240123003353 |
| Provider Name | Brianne Nolan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871061366 PECOS PAC ID: 4284087529 Enrollment ID: I20240202000203 |
| Provider Name | Adele Feild |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356808174 PECOS PAC ID: 9537502901 Enrollment ID: I20240213002709 |
| Provider Name | Bianca Neston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285291971 PECOS PAC ID: 9133570435 Enrollment ID: I20240221000035 |
| Provider Name | Bernadette Pruitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528782034 PECOS PAC ID: 2365886983 Enrollment ID: I20240221003945 |
| Provider Name | Dragana Hrvat |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518461367 PECOS PAC ID: 7911348842 Enrollment ID: I20240509002467 |
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