Provider Demographics
NPI: | 1093322638 |
---|---|
Name: | NEW HORIZON CLINICAL AND BEHAVIORAL SERVICES INC |
Entity type: | Organization |
Organization Name: | NEW HORIZON CLINICAL AND BEHAVIORAL SERVICES INC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LURANCE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SALEH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 708-673-6014 |
Mailing Address - Street 1: | 7430 161ST PL |
Mailing Address - Street 2: | |
Mailing Address - City: | TINLEY PARK |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60477-1535 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 708-890-9330 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 12052 S LOCKWOOD AVE |
Practice Address - Street 2: | |
Practice Address - City: | ALSIP |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60803-3165 |
Practice Address - Country: | US |
Practice Address - Phone: | 708-673-6014 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-09-28 |
Last Update Date: | 2022-01-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | Group - Multi-Specialty |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities | Group - Multi-Specialty |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | Group - Multi-Specialty |
No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | Group - Multi-Specialty |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |