# HORIZON RIDGE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265078273
- **Authorized official:** BRUCE ANTHONY EDDINS (CHIEF ADMINISTRATOR)
- **Authorized official phone:** (702) 489-2889

## Contact information

- **Practice address:** 1670 S FLAMINGO RD SUITE A, LAS VEGAS, NV 89119-6002
- **Practice address phone:** (702) 489-2889
- **Practice address fax:** (702) 780-0755
- **Mailing address:** 1670 S FLAMINGO RD SUITE A, LAS VEGAS, NV 89119-6002
- **Mailing address phone:** (702) 489-2889
- **Mailing address fax:** (702) 780-0755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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