Provider Demographics
NPI:1811148083
Name:BLUE HORIZONS COUNSELING CENTER INC.
Entity type:Organization
Organization Name:BLUE HORIZONS COUNSELING CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-751-9120
Mailing Address - Street 1:401 N RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-4109
Mailing Address - Country:US
Mailing Address - Phone:919-734-1579
Mailing Address - Fax:
Practice Address - Street 1:401 N RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-4109
Practice Address - Country:US
Practice Address - Phone:919-734-1579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC134GMOtherBCBS
NC6102214Medicaid