Provider Demographics
NPI:1922654276
Name:ALTERNATIVE HORIZON COUNSELING
Entity Type:Organization
Organization Name:ALTERNATIVE HORIZON COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISITNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:LISWS
Authorized Official - Phone:216-906-1117
Mailing Address - Street 1:6479 BRECKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-3419
Mailing Address - Country:US
Mailing Address - Phone:216-264-1058
Mailing Address - Fax:216-525-3116
Practice Address - Street 1:6479 BRECKSVILLE RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-3419
Practice Address - Country:US
Practice Address - Phone:216-264-1058
Practice Address - Fax:216-525-3116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty