Provider Demographics
NPI:1114218922
Name:NEW HORIZONS COUNSELING, LLC
Entity Type:Organization
Organization Name:NEW HORIZONS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARANDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PENNINI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:508-203-9460
Mailing Address - Street 1:216 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1587
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40 MECHANIC ST
Practice Address - Street 2:SUITE 202
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2074
Practice Address - Country:US
Practice Address - Phone:508-203-9460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6269101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty