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NPI Code Detail

MEDICARE: NEW HORIZONS CSB PHOENIX CENTER

MEDICARE: NEW HORIZONS CSB PHOENIX CENTER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1538202502
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW HORIZONS CSB PHOENIX CENTER
Provider Business Mailing Address
First Line : 2100 COMER AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8725
Country : US
Telephone Number : 706-596-5583
Fax Number : 706-596-5589
Provider Business Practice Location Address
First Line : 9067 VETERANS PKWY
Second Line :
City : MIDLAND
State : GA
Zip : 31820-3411
Country : US
Telephone Number : 706-324-7074
Fax Number : 706-324-7073
Authorized Official
Title or Position : CEO
Name : PERRY ALEXANDER
Credential :
Telephone Number : 706-596-5582
Provider Enumeration Date : 02/15/2007
Last Update Date : 08/22/2020

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Directions to “NEW HORIZONS CSB PHOENIX CENTER ” Practice Location

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