Healthcare Provider Details

I. General information

NPI: 1447114491
Provider Name (Legal Business Name): HORIZONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4605 PEMBROKE LAKE CIR STE 102B
VIRGINIA BEACH VA
23455-6435
US

IV. Provider business mailing address

PO BOX 68685
VIRGINIA BEACH VA
23471-8685
US

V. Phone/Fax

Practice location:
  • Phone: 757-698-9306
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LAKISHA JOHNSON
Title or Position: OWNER
Credential: LPC
Phone: 757-698-9306