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NPI Code Detail

MEDICARE: HORIZONS BEHAVIORAL HEALTH LLC

MEDICARE: HORIZONS BEHAVIORAL HEALTH LLC
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
12084P0800XPsychiatry Physician
2251B00000XCase Management Agency
3251S00000XCommunity/Behavioral Health Agency
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
5261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1477373389
Entity Type Code : Organization
Provider Name (Legal Business Name) : HORIZONS BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : PO BOX 290595
Second Line :
City : EL PASO
State : TX
Zip : 79929-0595
Country : US
Telephone Number : 915-490-3116
Fax Number :
Provider Business Practice Location Address
First Line : 550 PEYTON HILLS DR
Second Line :
City : EL PASO
State : TX
Zip : 79928-4448
Country : US
Telephone Number : 915-490-3116
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JOYCE GONZALEZ
Credential : NCC, LPC
Telephone Number : 915-329-7569
Provider Enumeration Date : 10/15/2024
Last Update Date : 10/15/2024

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Directions to “HORIZONS BEHAVIORAL HEALTH LLC ” Practice Location

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