Healthcare Provider Details

I. General information

NPI: 1093375354
Provider Name (Legal Business Name): TRUE HORIZONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 06/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 NEW BERN AVE
RALEIGH NC
27610-1248
US

IV. Provider business mailing address

4215 VIEWMONT DR
RALEIGH NC
27610-5330
US

V. Phone/Fax

Practice location:
  • Phone: 919-306-0809
  • Fax:
Mailing address:
  • Phone: 919-306-0809
  • Fax: 919-212-8158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: LADONNA CLARK
Title or Position: FOUNDER
Credential:
Phone: 919-306-0809