Provider Demographics
NPI:1124314794
Name:NEW HORIZONS THERAPY
Entity type:Organization
Organization Name:NEW HORIZONS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:REBEKAH
Authorized Official - Last Name:CONLY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:918-697-8548
Mailing Address - Street 1:705 W LOWRY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-2107
Mailing Address - Country:US
Mailing Address - Phone:918-697-8548
Mailing Address - Fax:918-341-3779
Practice Address - Street 1:705 W LOWRY RD STE 101
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-2107
Practice Address - Country:US
Practice Address - Phone:918-697-8548
Practice Address - Fax:918-341-3779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3757101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty