Provider Demographics
NPI:1235566209
Name:NEW HEIGHTS COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:NEW HEIGHTS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HAGGARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:678-986-7458
Mailing Address - Street 1:110 SHENANDOAH DR NE
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-4717
Mailing Address - Country:US
Mailing Address - Phone:678-986-7458
Mailing Address - Fax:770-443-0079
Practice Address - Street 1:110 SHENANDOAH DR NE
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-4717
Practice Address - Country:US
Practice Address - Phone:678-986-7458
Practice Address - Fax:770-443-0079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00312207AMedicaid
GA20280I3279Medicare PIN