MEDICARE: HORIZONS COUNSELING SERVICES, 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	1041C0700X	Clinical Social Worker
2	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1770519092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZONS COUNSELING SERVICES, INC.

Provider Business Mailing Address
First Line	:	5851 PEARL RD
Second Line	:	STE 305
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-2112
Country	:	US
Telephone Number	:	440-845-9011
Fax Number	:	440-845-9013

Provider Business Practice Location Address
First Line	:	5851 PEARL RD
Second Line	:	STE 305
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-2112
Country	:	US
Telephone Number	:	440-845-9011
Fax Number	:	440-845-9013

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRANCIS CHIAPPA
Credential	:	PH.D.
Telephone Number	:	440-845-9011

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	02/08/2011

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