Healthcare Provider Details

I. General information

NPI: 1770413379
Provider Name (Legal Business Name): NEW HORIZONS MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 CENTERPOINT DR STE 405
MIDDLETOWN CT
06457-7570
US

IV. Provider business mailing address

515 CENTERPOINT DR STE 405
MIDDLETOWN CT
06457-7570
US

V. Phone/Fax

Practice location:
  • Phone: 203-685-6803
  • Fax: 203-774-3919
Mailing address:
  • Phone: 203-685-6803
  • Fax: 203-774-3919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY AMOS
Title or Position: PMHNP
Credential: APRN
Phone: 203-285-6803