| New Horizons Counseling Services, Llc | |
|
25020 Shore Pkwy Ste K Onley VA 23418-2857 | |
| (757) 709-0996 | |
| (757) 460-7744 |
| Full Name | New Horizons Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25020 Shore Pkwy Ste K, Onley, Virginia |
| Authorized Official Name and Position | John Willis Konkel (OWNER) |
| Authorized Official Contact | 7577090996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizons Counseling Services, Llc Po Box 1153 Exmore VA 23350-1153 Ph: (757) 709-0996 | New Horizons Counseling Services, Llc 25020 Shore Pkwy Ste K Onley VA 23418-2857 Ph: (757) 709-0996 |
| NPI Number | 1245070820 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 5890238471 |
|---|---|
| Medicare Enrollment ID | O20240624004296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245070820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | John W Konkel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649726522 PECOS PAC ID: 6103263074 Enrollment ID: I20240327002275 |
Chrysalis Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25501 West Main St, Onley, VA 23418 Phone: 757-710-4038 |