Basic Information
Provider Information
NPI: 1861041717
EntityType: 2
ReplacementNPI:  
OrganizationName: HORIZONS MENTAL HEALTH CENTER, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: HORIZONS-LEARN & PLAY THERAPEUTIC CENTER
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1600 N LORRAINE ST STE 202
Address2:  
City: HUTCHINSON
State: KS
PostalCode: 675015600
CountryCode: US
TelephoneNumber: 6206637595
FaxNumber:  
Practice Location
Address1: 1901 E 23RD AVE STE 200
Address2:  
City: HUTCHINSON
State: KS
PostalCode: 675021196
CountryCode: US
TelephoneNumber: 6206637595
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/04/2019
LastUpdateDate: 03/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: FORAN
AuthorizedOfficialFirstName: THEDA
AuthorizedOfficialMiddleName: R
AuthorizedOfficialTitleorPosition: ACCOUNTING ASSISTANT
AuthorizedOfficialTelephone: 6208886301
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: HORIZONS MENTAL HEALTH CENTER, INC
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


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