MEDICARE: NEW HORIZONS BEHAVIORAL HEALTH AND WELLNESS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1124726344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZONS BEHAVIORAL HEALTH AND WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	2734 WONDERVIEW DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-2903
Country	:	US
Telephone Number	:	512-698-0489
Fax Number	:

Provider Business Practice Location Address
First Line	:	2734 WONDERVIEW DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-2903
Country	:	US
Telephone Number	:	512-698-0489
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST
Name	:	DR. JUDITH PATRICIA CEPEDA
Credential	:	PSYD
Telephone Number	:	512-698-0489

Provider Enumeration Date	:	02/16/2023
Last Update Date	:	05/31/2023

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