Organization
INSIGHT INTEGRATIVE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE AYESHA MACON CRNP (OWNER)
(410) 615-8566
Entity
Organization
Contact information
Practice address
612 TOM SAWYER RD, DRIPPING SPRINGS, TX 78620-4329
(410) 615-8566
Mailing address
612 TOM SAWYER RD, DRIPPING SPRINGS, TX 78620-4329
(410) 615-8566
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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