# NEW HORIZONS THERAPY SERVICES

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

## Provider details

- **NPI number:** 1417462771
- **Authorized official:** MS. REGINA MARIE GRANT MA, LPC, RPT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (304) 768-5506

## Contact information

- **Practice address:** 1215A STEWART PLZ, DUNBAR, WV 25064-3021
- **Practice address phone:** (304) 768-5506
- **Practice address fax:** (304) 768-5508
- **Mailing address:** 1215A STEWART PLZ, DUNBAR, WV 25064-3021
- **Mailing address phone:** (304) 768-5506
- **Mailing address fax:** (304) 768-5508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 12/08/2017
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810015614 | — | WV |