Provider Demographics
NPI:1134300403
Name:NEW HORIZONS COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:NEW HORIZONS COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:309-681-9432
Mailing Address - Street 1:3915 R N SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-7135
Mailing Address - Country:US
Mailing Address - Phone:309-681-9432
Mailing Address - Fax:309-681-9164
Practice Address - Street 1:3915 N SHERIDAN RD UNIT R
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-7135
Practice Address - Country:US
Practice Address - Phone:309-681-9432
Practice Address - Fax:309-681-9164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180000228101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty