Provider Demographics
NPI:1649887043
Name:HORIZONS UNLIMITED,LLC
Entity type:Organization
Organization Name:HORIZONS UNLIMITED,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RATLIFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-907-8900
Mailing Address - Street 1:PO BOX 930
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85211-0930
Mailing Address - Country:US
Mailing Address - Phone:480-907-8900
Mailing Address - Fax:
Practice Address - Street 1:59 E BROADWAY RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-1625
Practice Address - Country:US
Practice Address - Phone:480-358-8956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty