Provider Demographics
NPI:1679798219
Name:HORIZONS BEHAVORIAL HEALTH SOLUTIONS,INC
Entity Type:Organization
Organization Name:HORIZONS BEHAVORIAL HEALTH SOLUTIONS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KALPANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:262-948-1000
Mailing Address - Street 1:PO BOX 7814
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-7005
Mailing Address - Country:US
Mailing Address - Phone:262-948-1000
Mailing Address - Fax:262-943-9374
Practice Address - Street 1:6123 GREEN BAY RD STE 230
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-2927
Practice Address - Country:US
Practice Address - Phone:262-948-1000
Practice Address - Fax:262-942-9374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI05632021OtherBLUE CROSS BLUE SHIELD
WI39655400Medicaid
WI249940000OtherMAGELLAN
WI36449357010OtherBLUE CROSS BLUE SHIELD
WI249940000OtherMAILHANDLERS
WI6110476OtherUNITED HEALTHCARE
WI352866678001OtherBLUE CROSS BLUE SHIELD
WI000044294Medicare PIN
WI249940000OtherMAGELLAN