Healthcare Provider Details
I. General information
NPI: 1659411312
Provider Name (Legal Business Name): HORIZONS COUNSELING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2007
Last Update Date: 02/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25 COUNTRY CLUB RD SUITE 705
GILFORD NH
03249-6972
US
IV. Provider business mailing address
25 COUNTRY CLUB RD SUITE 705
GILFORD NH
03249-6972
US
V. Phone/Fax
- Phone: 603-524-8005
- Fax: 603-524-7275
- Phone: 603-524-8005
- Fax: 603-524-7275
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JACQUELINE
ABIKOFF
Title or Position: EXECUTIVE DIRECTOR
Credential: LICSW, MLADC
Phone: 603-524-8005