Provider Demographics
NPI:1750892402
Name:INSIGHT BEHAVIORAL HEALTH ASSOCIATES
Entity type:Organization
Organization Name:INSIGHT BEHAVIORAL HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:502-504-1411
Mailing Address - Street 1:1000 E LEXINGTON AVE STE 30
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-1707
Mailing Address - Country:US
Mailing Address - Phone:859-209-2198
Mailing Address - Fax:859-209-4439
Practice Address - Street 1:1000 E LEXINGTON AVE STE 30
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-1707
Practice Address - Country:US
Practice Address - Phone:859-209-2198
Practice Address - Fax:859-209-4439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-21
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009625363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty