Provider Demographics
NPI:1841786100
Name:HORIZON BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:HORIZON BEHAVIORAL HEALTH
Other - Org Name:HORIZON HOME AT LAKEVIEW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:434-455-7080
Mailing Address - Street 1:PO BOX 6316
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24505-6316
Mailing Address - Country:US
Mailing Address - Phone:434-485-8862
Mailing Address - Fax:434-485-8877
Practice Address - Street 1:999 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2803
Practice Address - Country:US
Practice Address - Phone:434-455-5342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness