| Horizon Behavioral Health, P.c. | |
|
790 Frank Cochran Dr Suite 111 Hinesville GA 31313-3915 | |
| (912) 368-3868 | |
| Not Available |
| Full Name | Horizon Behavioral Health, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 790 Frank Cochran Dr, Hinesville, Georgia |
| Authorized Official Name and Position | Afolarin Banjoko (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9123683868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Behavioral Health, P.c. 790 Frank Cochran Dr Suite 111 Hinesville GA 31313-3915 Ph: (912) 368-3868 | Horizon Behavioral Health, P.c. 790 Frank Cochran Dr Suite 111 Hinesville GA 31313-3915 Ph: (912) 368-3868 |
| NPI Number | 1891003299 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 05/09/2011 |
| Medicare PECOS PAC ID | 6204016611 |
|---|---|
| Medicare Enrollment ID | O20110202000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891003299 | NPI | - | NPPES |
| 202G702302 | Other | GA | MEDICARE PTAN |
| 003105891A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1729 (Georgia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 49267 (Georgia) | Primary |
| Provider Name | Robert A Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538331509 PECOS PAC ID: 6901976091 Enrollment ID: I20080602000176 |
| Provider Name | Manuel Mota Castillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003867698 PECOS PAC ID: 9133179567 Enrollment ID: I20101208000975 |
| Provider Name | Afolarin Banjoko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083775779 PECOS PAC ID: 6103712005 Enrollment ID: I20110202000189 |
| Provider Name | Sasa Strunjas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639179138 PECOS PAC ID: 6507806403 Enrollment ID: I20120613000652 |
| Provider Name | Ebony Gaffney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184851958 PECOS PAC ID: 1153565296 Enrollment ID: I20130911000759 |
| Provider Name | Christi Oates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417343096 PECOS PAC ID: 0840511812 Enrollment ID: I20150602002079 |
| Provider Name | Caroline B Derosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841685831 PECOS PAC ID: 1759674013 Enrollment ID: I20160725000397 |
| Provider Name | Timothy Curran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063910305 PECOS PAC ID: 9931458551 Enrollment ID: I20180815001378 |
| Provider Name | Marion Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841771011 PECOS PAC ID: 0244584217 Enrollment ID: I20181109000371 |
| Provider Name | Kellie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568946150 PECOS PAC ID: 2062756562 Enrollment ID: I20181211001639 |
| Provider Name | Holly Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063996577 PECOS PAC ID: 5092050633 Enrollment ID: I20181229000034 |
| Provider Name | Belinda Montoya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194130989 PECOS PAC ID: 5597015438 Enrollment ID: I20191009001985 |
| Provider Name | Alexandria Marie Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962035303 PECOS PAC ID: 5991136053 Enrollment ID: I20200506000935 |
| Provider Name | Patricia Didier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003434341 PECOS PAC ID: 1850719428 Enrollment ID: I20200914001788 |
| Provider Name | Chelsea Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376174706 PECOS PAC ID: 3375972573 Enrollment ID: I20210311003022 |
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