Provider Demographics
NPI:1396501789
Name:CLEARHORIZON FORENSIC AND COUNSELING GROUP, LLC
Entity type:Organization
Organization Name:CLEARHORIZON FORENSIC AND COUNSELING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP-R, CSAC, CSOTP
Authorized Official - Phone:808-364-8937
Mailing Address - Street 1:PO BOX 773
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-0017
Mailing Address - Country:US
Mailing Address - Phone:757-940-7969
Mailing Address - Fax:
Practice Address - Street 1:1100 N SHENANDOAH AVE STE B
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3561
Practice Address - Country:US
Practice Address - Phone:757-940-7969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health