| Insightful Living Inc | |
|
5420 W Sahara Ave Suite 201 Las Vegas NV 89146-0394 | |
| (702) 686-2069 | |
| (702) 686-2069 |
| Full Name | Insightful Living Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5420 W Sahara Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Thomas Fulbrook (PRESIDENT) |
| Authorized Official Contact | 7026862069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insightful Living Inc 7840 Pinnochio Ave Las Vegas NV 89131-3590 Ph: (702) 686-2069 | Insightful Living Inc 5420 W Sahara Ave Suite 201 Las Vegas NV 89146-0394 Ph: (702) 686-2069 |
| NPI Number | 1457653610 |
|---|---|
| Provider Enumeration Date | 11/22/2010 |
| Last Update Date | 09/09/2013 |
| Medicare PECOS PAC ID | 2961698261 |
|---|---|
| Medicare Enrollment ID | O20101129000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457653610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5767-C (Nevada) | Primary |
| Provider Name | Thomas B Fulbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043521545 PECOS PAC ID: 8921294224 Enrollment ID: I20101129000983 |
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