Provider Demographics
NPI:1851776546
Name:KNIGHT NHCC OF NRH LLC
Entity Type:Organization
Organization Name:KNIGHT NHCC OF NRH LLC
Other - Org Name:NEW HORIZON COUNSELING CENTER NRH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-624-1222
Mailing Address - Street 1:5424 RUFE SNOW DR
Mailing Address - Street 2:STE 304
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6684
Mailing Address - Country:US
Mailing Address - Phone:817-522-1095
Mailing Address - Fax:817-460-0286
Practice Address - Street 1:5424 RUFE SNOW DR
Practice Address - Street 2:STE 304
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6684
Practice Address - Country:US
Practice Address - Phone:817-576-2447
Practice Address - Fax:844-273-0993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW HORIZON COUNSELING CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-23
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66180101YP2500X
1041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX348982502Medicaid
TX348982501Medicaid