Healthcare Provider Details

I. General information

NPI: 1740100551
Provider Name (Legal Business Name): HORIZON RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 OLD MINDEN RD STE 17G
BOSSIER CITY LA
71111-4804
US

IV. Provider business mailing address

723 GERMANTOWN RD
MINDEN LA
71055-9768
US

V. Phone/Fax

Practice location:
  • Phone: 318-470-3118
  • Fax: 318-319-0320
Mailing address:
  • Phone: 318-470-3118
  • Fax: 318-319-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: SCOTT RUSSELL MCCALL
Title or Position: CONSULT
Credential:
Phone: 318-470-3118