Provider Demographics
NPI:1962245217
Name:INNER HORIZONS INCORPORATED
Entity type:Organization
Organization Name:INNER HORIZONS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO/TREASURER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MICHEAL
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:907-315-9363
Mailing Address - Street 1:4001 N CHARLEY DR
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-4329
Mailing Address - Country:US
Mailing Address - Phone:907-315-9363
Mailing Address - Fax:
Practice Address - Street 1:1981 E PALMER WASILLA HWY STE 235
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7289
Practice Address - Country:US
Practice Address - Phone:907-315-9363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health