Healthcare Provider Details

I. General information

NPI: 1730040262
Provider Name (Legal Business Name): NEW HORIZONS AREA MH MR SA PROGRAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 VILLA NOVA ST
CUTHBERT GA
39840-6221
US

IV. Provider business mailing address

PO BOX 5328
COLUMBUS GA
31906-0328
US

V. Phone/Fax

Practice location:
  • Phone: 229-366-0906
  • Fax: 762-261-3105
Mailing address:
  • Phone: 706-596-5500
  • Fax: 706-596-5589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREA WINSTON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LPC
Phone: 706-596-5500