New Horizons Counseling Service Inc. | |
5062 N 19th Ave Suite 102 Phoenix AZ 85015-3225 | |
(623) 939-6567 | |
(623) 939-7365 |
Full Name | New Horizons Counseling Service Inc. |
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Speciality | Community/behavioral Health |
Location | 5062 N 19th Ave, Phoenix, Arizona |
Authorized Official Name and Position | Vickie Binley (PRESIDENT) |
Authorized Official Contact | 6239396567 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Horizons Counseling Service Inc. Po Box 56339 Phoenix AZ 85079-6339 Ph: (623) 939-6567 | New Horizons Counseling Service Inc. 5062 N 19th Ave Suite 102 Phoenix AZ 85015-3225 Ph: (623) 939-6567 |
NPI Number | 1083640593 |
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Provider Enumeration Date | 06/25/2006 |
Last Update Date | 06/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083640593 | NPI | - | NPPES |
953001 | Other | AZ | AHCCCS |
589781 | Other | AZ | AHCCCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | BH-1352 (Arizona) | Secondary |
251S00000X | Community/behavioral Health | BH-2882 (Arizona) | Primary |
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