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NPI Code Detail

MEDICARE: HIGH DESERT HORIZONS THERAPY LLC

MEDICARE: HIGH DESERT HORIZONS THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1003741513
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGH DESERT HORIZONS THERAPY LLC
Provider Business Mailing Address
First Line : 20789 NW HENRY AVE STE 170
Second Line : #12
City : BEND
State : OR
Zip : 97703
Country : US
Telephone Number : 828-302-3719
Fax Number :
Provider Business Practice Location Address
First Line : 222 SE URANIA LN
Second Line :
City : BEND
State : OR
Zip : 97702-1624
Country : US
Telephone Number : 828-302-3719
Fax Number :
Authorized Official
Title or Position : CLINICAL THERAPIST
Name : SHAKARI CARSON
Credential : LCSW
Telephone Number : 828-302-3719
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “HIGH DESERT HORIZONS THERAPY LLC ” Practice Location

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