Organization Name: | NEW HORIZONS LCSW, PC |
NPI Number: | 1023380771 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANA CARRION (CLINICAL DIRECTOR) |
Mailing Address: | 14 Washington Ave Suite 2 Brentwood |
State: | NY US |
Postal Code: | 117173247 |
Phone Number: | 6317668989 |
Fax Number: | 8882720686 |
NPI Enumeration Date: | 01/26/2012 |
NPI Last Update Date: | 03/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 108482880 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |