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General NPI Number Information
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NPI Number | 1962037010
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS LLC
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 308 W DIXIE AVE
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-1700
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Country | US
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Telephone | 270-900-4179
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Fax |
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Provider Business Mailing Address
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Address Line | 114 EVERGREEN GDN
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-5910
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Country | US
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Telephone | 270-900-4179
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NINA ROY
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Credential |
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Telephone | 270-585-4306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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