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Organization
HORIZON RIDGE CLINIC LLC
Active
Organization
HORIZON RIDGE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ANTHONY EDDINS (CHIEF ADMINISTRATOR)
(702) 489-2889
Entity
Organization
Contact information
Practice address
1670 S FLAMINGO RD SUITE A, LAS VEGAS, NV 89119-6002
(702) 489-2889
(702) 780-0755
Mailing address
1670 S FLAMINGO RD SUITE A, LAS VEGAS, NV 89119-6002
(702) 489-2889
(702) 780-0755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TF0000X
Family Psychologist
—
NULL
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
11/25/2019
Last updated
02/16/2024
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