Provider Demographics
NPI:1831846815
Name:NEW HORIZONS CONCIERGE FIRM
Entity type:Organization
Organization Name:NEW HORIZONS CONCIERGE FIRM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MYISHA
Authorized Official - Middle Name:LEVISHER
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CTRS
Authorized Official - Phone:213-524-6925
Mailing Address - Street 1:1304 WEST 2ND STREET #431
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026
Mailing Address - Country:US
Mailing Address - Phone:213-524-6925
Mailing Address - Fax:
Practice Address - Street 1:1304 WEST 2ND STREET #431
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026
Practice Address - Country:US
Practice Address - Phone:213-524-6925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health