Healthcare Provider Details

I. General information

NPI: 1184736092
Provider Name (Legal Business Name): HORIZONS NORTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3575 MACON RD SUITE 18
COLUMBUS GA
31907-8200
US

IV. Provider business mailing address

PO BOX 5328
COLUMBUS GA
31906-0328
US

V. Phone/Fax

Practice location:
  • Phone: 706-565-5927
  • Fax: 706-565-8207
Mailing address:
  • Phone: 706-565-5927
  • Fax: 706-565-8207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateGA

VIII. Authorized Official

Name: MRS. VALERIE BOWDEN
Title or Position: CFO
Credential:
Phone: 706-596-5757