Healthcare Provider Details
I. General information
NPI: 1093527053
Provider Name (Legal Business Name): ON THE HORIZON LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9615 E COUNTY LINE RD STE B-205
CENTENNIAL CO
80112-3527
US
IV. Provider business mailing address
9615 E COUNTY LINE RD STE B-205
CENTENNIAL CO
80112-3527
US
V. Phone/Fax
- Phone: 303-618-2022
- Fax:
- Phone: 303-618-2022
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CYNTHIA
DENES
JOBE
Title or Position: MANAGER/OWNER
Credential: MS, LAC
Phone: 303-618-2022