Provider Demographics
NPI:1881138857
Name:NEW HORIZONS TREATMENT SERVICES LLC
Entity type:Organization
Organization Name:NEW HORIZONS TREATMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:580-927-3168
Mailing Address - Street 1:6 E LAFAYETTE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:COALGATE
Mailing Address - State:OK
Mailing Address - Zip Code:74538-2677
Mailing Address - Country:US
Mailing Address - Phone:580-927-3168
Mailing Address - Fax:580-927-2346
Practice Address - Street 1:6 E LAFAYETTE AVE STE A
Practice Address - Street 2:
Practice Address - City:COALGATE
Practice Address - State:OK
Practice Address - Zip Code:74538-2677
Practice Address - Country:US
Practice Address - Phone:580-927-3168
Practice Address - Fax:580-927-2346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-11
Last Update Date:2016-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251B00000X
OK5730251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management