Provider Demographics
NPI:1770452732
Name:HORIZONS MINDHARBOR COUNSELING, LLC
Entity type:Organization
Organization Name:HORIZONS MINDHARBOR COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-902-8148
Mailing Address - Street 1:61 N DIXIE DR # 61A
Mailing Address - Street 2:
Mailing Address - City:VANDALIA
Mailing Address - State:OH
Mailing Address - Zip Code:45377-2037
Mailing Address - Country:US
Mailing Address - Phone:937-902-8148
Mailing Address - Fax:
Practice Address - Street 1:61 N DIXIE DR # 61A
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:OH
Practice Address - Zip Code:45377-2037
Practice Address - Country:US
Practice Address - Phone:937-902-8148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty