Healthcare Provider Details

I. General information

NPI: 1801252135
Provider Name (Legal Business Name): NEW HORIZON COUNSELING AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2015
Last Update Date: 12/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 FARMERVILLE HWY
RUSTON LA
71270-3513
US

IV. Provider business mailing address

1231 FARMERVILLE HWY
RUSTON LA
71270-3513
US

V. Phone/Fax

Practice location:
  • Phone: 318-224-7017
  • Fax: 318-224-7018
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CORTRINIA HOOD
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 318-224-7017