Provider Demographics
NPI:1215444260
Name:NEW HORIZONS COUNSELING AND FAMILY SERVICES, LLC
Entity type:Organization
Organization Name:NEW HORIZONS COUNSELING AND FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:LANGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LCSW
Authorized Official - Phone:715-337-0555
Mailing Address - Street 1:PO BOX 684
Mailing Address - Street 2:
Mailing Address - City:SAINT GERMAIN
Mailing Address - State:WI
Mailing Address - Zip Code:54558-0684
Mailing Address - Country:US
Mailing Address - Phone:715-617-6000
Mailing Address - Fax:715-337-0556
Practice Address - Street 1:306 HIGHWAY 70 E
Practice Address - Street 2:
Practice Address - City:SAINT GERMAIN
Practice Address - State:WI
Practice Address - Zip Code:54558-8800
Practice Address - Country:US
Practice Address - Phone:715-337-0555
Practice Address - Fax:715-337-0556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-29
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40973800Medicaid