Provider Demographics
NPI:1588056006
Name:NEW HORIZONS/NUEVOS HORIZONTES
Entity type:Organization
Organization Name:NEW HORIZONS/NUEVOS HORIZONTES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRIETTA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PAZOS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:303-513-1408
Mailing Address - Street 1:2323 S TROY ST STE 3-107
Mailing Address - Street 2:VAST WELLNESS CENTER
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1982
Mailing Address - Country:US
Mailing Address - Phone:303-513-1408
Mailing Address - Fax:
Practice Address - Street 1:11515 E AMHERST CIR N
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3046
Practice Address - Country:US
Practice Address - Phone:303-513-1408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY0002751103TB0200X, 103TC2200X, 103TC0700X
CO00059308103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1962447797OtherNPI