Provider Demographics
NPI:1083640593
Name:NEW HORIZONS COUNSELING SERVICE INC.
Entity Type:Organization
Organization Name:NEW HORIZONS COUNSELING SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-939-6567
Mailing Address - Street 1:PO BOX 56339
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85079-6339
Mailing Address - Country:US
Mailing Address - Phone:623-939-6567
Mailing Address - Fax:623-939-7365
Practice Address - Street 1:5062 N 19TH AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-3225
Practice Address - Country:US
Practice Address - Phone:623-939-6567
Practice Address - Fax:623-939-7365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-1352101YA0400X
AZBH-2882251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ953001OtherAHCCCS
AZ589781OtherAHCCCS
AZ589781OtherAHCCCS