MEDICARE: HORIZONS NORTH, INC.

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	104100000X	Social Worker
2	101Y00000X	Counselor		GA

General Provider Information

NPI Number	:	1184736092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZONS NORTH, INC.

Provider Business Mailing Address
First Line	:	PO BOX 5328
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31906-0328
Country	:	US
Telephone Number	:	706-565-5927
Fax Number	:	706-565-8207

Provider Business Practice Location Address
First Line	:	3575 MACON RD
Second Line	:	SUITE 18
City	:	COLUMBUS
State	:	GA
Zip	:	31907-8200
Country	:	US
Telephone Number	:	706-565-5927
Fax Number	:	706-565-8207

Authorized Official
Title or Position	:	CFO
Name	:	MRS. VALERIE BOWDEN
Credential	:
Telephone Number	:	706-596-5757

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/02/2011

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Directions to “HORIZONS NORTH, INC. ” Practice Location

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