MEDICARE: HORIZON RECOVERY IOP BOSSIER 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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1518817204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON RECOVERY IOP BOSSIER LLC

Provider Business Mailing Address
First Line	:	723 GERMANTOWN RD
Second Line	:
City	:	MINDEN
State	:	LA
Zip	:	71055-9768
Country	:	US
Telephone Number	:	318-470-3118
Fax Number	:	318-319-0320

Provider Business Practice Location Address
First Line	:	1007 GOULD DR STE 2
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-4971
Country	:	US
Telephone Number	:	318-840-7623
Fax Number	:	318-319-0320

Authorized Official
Title or Position	:	OWNER
Name	:	KAYLA OWENS
Credential	:
Telephone Number	:	318-840-7623

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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