Provider Demographics
NPI:1407105653
Name:NEW HORIZONS CENTER FOR HEALING
Entity Type:Organization
Organization Name:NEW HORIZONS CENTER FOR HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COORDINATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBASSI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:972-260-9650
Mailing Address - Street 1:4817 MEDICAL CENTER DR
Mailing Address - Street 2:UNIT 3A
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1886
Mailing Address - Country:US
Mailing Address - Phone:972-260-9650
Mailing Address - Fax:469-209-4388
Practice Address - Street 1:4817 MEDICAL CENTER DR
Practice Address - Street 2:UNIT 3A
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1886
Practice Address - Country:US
Practice Address - Phone:972-260-9650
Practice Address - Fax:469-209-4388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-04
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12811251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215455102Medicaid
TX215455101Medicaid