| Insight Counseling & Consulting, Llc | |
|
1905 Sunset Blvd Ste C West Columbia SC 29169-5955 | |
| (803) 281-6950 | |
| (803) 896-5557 |
| Full Name | Insight Counseling & Consulting, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1905 Sunset Blvd Ste C, West Columbia, South Carolina |
| Authorized Official Name and Position | Jenny R Bouknight (OWNER) |
| Authorized Official Contact | 8033808388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Counseling & Consulting, Llc 1905 Sunset Blvd Ste C West Columbia SC 29169-5955 Ph: (803) 380-8388 | Insight Counseling & Consulting, Llc 1905 Sunset Blvd Ste C West Columbia SC 29169-5955 Ph: (803) 281-6950 |
| NPI Number | 1568007888 |
|---|---|
| Provider Enumeration Date | 11/11/2019 |
| Last Update Date | 06/10/2021 |
| Certification Date | 06/10/2021 |
| Medicare PECOS PAC ID | 2466887765 |
|---|---|
| Medicare Enrollment ID | O20200114003380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568007888 | NPI | - | NPPES |
| 1699286898 | Other | SC | NPI |
| SW1670 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jenny R Bouknight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699286898 PECOS PAC ID: 0345295077 Enrollment ID: I20050316000181 |
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