Healthcare Provider Details

I. General information

NPI: 1962776591
Provider Name (Legal Business Name): HORIZON BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2012
Last Update Date: 08/02/2022
Certification Date: 08/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722B OLD GRAVES MILL ROAD POWELL HOUSE
LYNCHBURG VA
24501
US

IV. Provider business mailing address

PO BOX 6316
LYNCHBURG VA
24505-6316
US

V. Phone/Fax

Practice location:
  • Phone: 434-485-8861
  • Fax: 434-485-8877
Mailing address:
  • Phone: 434-485-8862
  • Fax: 434-485-8877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number StateVA

VIII. Authorized Official

Name: MELISSA LUCY
Title or Position: CEO / EXECUTIVE DIRECTOR
Credential: LPC
Phone: 434-455-7080