Provider Demographics
NPI:1851784706
Name:NEW HORIZONS BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:NEW HORIZONS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE SUPPORT WORKER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DANISHA
Authorized Official - Middle Name:SHERRELLE
Authorized Official - Last Name:BRANT
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:706-593-4136
Mailing Address - Street 1:2100 COMER AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-8725
Mailing Address - Country:US
Mailing Address - Phone:706-596-5557
Mailing Address - Fax:
Practice Address - Street 1:2100 COMER AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-8725
Practice Address - Country:US
Practice Address - Phone:706-596-5557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health