| Insightful Options | |
|
1409 East Blvd Suite 6b Charlotte NC 28203-5817 | |
| (704) 340-4666 | |
| Not Available |
| Full Name | Insightful Options |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1409 East Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Latasha Shawntay Mcilwaine (OWNER/ THERAPIST) |
| Authorized Official Contact | 7043404666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Insightful Options Po Box 743 Paw Creek NC 28130-0743 Ph: (704) 340-4666 | Insightful Options 1409 East Blvd Suite 6b Charlotte NC 28203-5817 Ph: (704) 340-4666 |
| NPI Number | 1720255680 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 03/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720255680 | NPI | - | NPPES |
| 6103719 | Medicaid | NC | |
| 6006425 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6691 (North Carolina) | Primary |
| 251S00000X | Community/behavioral Health | 1296 (North Carolina) | Secondary |
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