Healthcare Provider Details

I. General information

NPI: 1689890634
Provider Name (Legal Business Name): NEW HORIZON THERAPEUTIC CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 E INVERNESS AVE
MESA AZ
85204-7136
US

IV. Provider business mailing address

2719 EAST INVERNESS AVENUE
MESA AZ
85204
US

V. Phone/Fax

Practice location:
  • Phone: 480-507-7987
  • Fax: 480-621-8278
Mailing address:
  • Phone: 480-507-7987
  • Fax: 480-621-8278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberBH2715
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberBH2715
License Number StateAZ

VIII. Authorized Official

Name: PAOLO J POOL
Title or Position: OWNER
Credential:
Phone: 480-507-7987