Provider Demographics
NPI:1205077583
Name:NEW HORIZONS MENTAL HEALTH SERVICES PLLC
Entity type:Organization
Organization Name:NEW HORIZONS MENTAL HEALTH SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LILY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TENCZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-585-1955
Mailing Address - Street 1:20960 KELLY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-3137
Mailing Address - Country:US
Mailing Address - Phone:586-585-1955
Mailing Address - Fax:586-585-1963
Practice Address - Street 1:20960 KELLY RD
Practice Address - Street 2:SUITE B
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-3137
Practice Address - Country:US
Practice Address - Phone:586-585-1955
Practice Address - Fax:586-585-1963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301072319261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health