Provider Demographics
NPI:1245070820
Name:NEW HORIZONS COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:NEW HORIZONS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WILLIS
Authorized Official - Last Name:KONKEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-709-0996
Mailing Address - Street 1:PO BOX 1153
Mailing Address - Street 2:
Mailing Address - City:EXMORE
Mailing Address - State:VA
Mailing Address - Zip Code:23350-1153
Mailing Address - Country:US
Mailing Address - Phone:757-709-0996
Mailing Address - Fax:
Practice Address - Street 1:25020 SHORE PKWY STE K
Practice Address - Street 2:
Practice Address - City:ONLEY
Practice Address - State:VA
Practice Address - Zip Code:23418-2857
Practice Address - Country:US
Practice Address - Phone:757-709-0996
Practice Address - Fax:757-460-7744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health