Organization
NEW HORIZONS THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA MARIE GRANT MA, LPC, RPT (EXECUTIVE DIRECTOR)
(304) 768-5506
Entity
Organization
Contact information
Practice address
1215A STEWART PLZ, DUNBAR, WV 25064-3021
(304) 768-5506
(304) 768-5508
Mailing address
1215A STEWART PLZ, DUNBAR, WV 25064-3021
(304) 768-5506
(304) 768-5508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810015614
—
WV
Enumeration date
12/08/2017
Last updated
03/17/2018
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