Provider Demographics
NPI:1891148508
Name:HORIZONS SOCIAL COACHING, LLC
Entity Type:Organization
Organization Name:HORIZONS SOCIAL COACHING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA/LABA
Authorized Official - Phone:978-460-4575
Mailing Address - Street 1:42 NONSET PATH STE 2
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3441
Mailing Address - Country:US
Mailing Address - Phone:978-460-4575
Mailing Address - Fax:978-560-0051
Practice Address - Street 1:42 NONSET PATH STE 2
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3441
Practice Address - Country:US
Practice Address - Phone:978-460-4575
Practice Address - Fax:978-560-0051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0372251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health