| Horizon Counseling Services Llc | |
|
175 West Rd Suite 11 Ellington CT 06029-3730 | |
| (860) 837-4995 | |
| (860) 871-2239 |
| Full Name | Horizon Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 175 West Rd, Ellington, Connecticut |
| Authorized Official Name and Position | Lisa Jane Backus (OWNER) |
| Authorized Official Contact | 8608374995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Counseling Services Llc Po Box 537 Willington CT 06279-0537 Ph: (860) 837-4995 | Horizon Counseling Services Llc 175 West Rd Suite 11 Ellington CT 06029-3730 Ph: (860) 837-4995 |
| NPI Number | 1790122885 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 05/29/2013 |
| Medicare PECOS PAC ID | 7810136074 |
|---|---|
| Medicare Enrollment ID | O20130619000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790122885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 003187 (Connecticut) | Primary |
| Provider Name | Lisa Jane Backus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770827677 PECOS PAC ID: 8729227988 Enrollment ID: I20130621000003 |
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