Healthcare Provider Details

I. General information

NPI: 1215444260
Provider Name (Legal Business Name): NEW HORIZONS COUNSELING AND FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2017
Last Update Date: 12/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 HIGHWAY 70 E
SAINT GERMAIN WI
54558-8800
US

IV. Provider business mailing address

PO BOX 684
SAINT GERMAIN WI
54558-0684
US

V. Phone/Fax

Practice location:
  • Phone: 715-337-0555
  • Fax: 715-337-0556
Mailing address:
  • Phone: 715-617-6000
  • Fax: 715-337-0556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateWI

VIII. Authorized Official

Name: ARLENE ROSS LANGLEY
Title or Position: OWNER
Credential: MS,LCSW
Phone: 715-337-0555