Provider Demographics
NPI:1841352150
Name:NEW HORIZONS BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:NEW HORIZONS BEHAVIORAL HEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEASLIN BYLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:618-540-9677
Mailing Address - Street 1:1 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62234-6805
Mailing Address - Country:US
Mailing Address - Phone:618-540-9677
Mailing Address - Fax:618-551-7728
Practice Address - Street 1:1 VALLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62234-6805
Practice Address - Country:US
Practice Address - Phone:618-540-9677
Practice Address - Fax:618-551-7728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 261QM0850X
IL060.008044101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty