Provider Demographics
NPI:1194508929
Name:INFINITE HORIZONS THERAPY AND CONSULTING SERVICES
Entity type:Organization
Organization Name:INFINITE HORIZONS THERAPY AND CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:LYNEICE
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:601-218-7979
Mailing Address - Street 1:262 BAYBURY LN
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39212-5805
Mailing Address - Country:US
Mailing Address - Phone:601-672-7529
Mailing Address - Fax:601-500-5415
Practice Address - Street 1:262 BAYBURY LN
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39212-5805
Practice Address - Country:US
Practice Address - Phone:601-672-7529
Practice Address - Fax:601-500-5415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty