| New Horizon Counseling Center, Llc | |
|
1500 Washington Ave Evansville IN 47714-2059 | |
| (812) 491-1307 | |
| (812) 475-1398 |
| Full Name | New Horizon Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1500 Washington Ave, Evansville, Indiana |
| Authorized Official Name and Position | Carri Degraffenreid (OFFICE MANAGER) |
| Authorized Official Contact | 8124751390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizon Counseling Center, Llc Po Box 3276 Evansville IN 47731-3276 Ph: (812) 473-0181 | New Horizon Counseling Center, Llc 1500 Washington Ave Evansville IN 47714-2059 Ph: (812) 491-1307 |
| NPI Number | 1336559319 |
|---|---|
| Provider Enumeration Date | 04/30/2014 |
| Last Update Date | 04/19/2023 |
| Certification Date | 04/19/2023 |
| Medicare PECOS PAC ID | 9436373388 |
|---|---|
| Medicare Enrollment ID | O20140616000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336559319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34004695A (Indiana) | Primary |
| Provider Name | Diane Y Degraffenreid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407907579 PECOS PAC ID: 9436047693 Enrollment ID: I20040309000494 |
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