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NPI 1528498268

NPI 1528498268 : NEW HORIZONS COUNSELING CENTER, PLLC. : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1528498268
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW HORIZONS COUNSELING CENTER, PLLC. 
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Dates
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    Enumeration Date     |    11/16/2013
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    Last Update Date     |    11/16/2013
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Provider Practice Location Address
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    Address Line         |    1515 W CORNWALLIS DR SUITE G105
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27408-6338
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    Country              |    US
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    Telephone            |    336-456-3951
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    Fax                  |    336-638-3368
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Provider Business Mailing Address
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    Address Line         |    PO BOX 16184 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27416-0184
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    Country              |    US
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    Telephone            |    336-456-3951
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    Fax                  |    336-638-3368
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     TONYA A JONES 
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    Credential           |    LCSW
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    Telephone            |    336-456-3951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    C008357
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    License Number State |    NC
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