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Organization

NEW HORIZONS FAMILY RESOURCE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORRAINE TAVAREZ LOPEZ LPES (OWNER)
(803) 900-4849
Entity
Organization

Contact information

Practice address
1 WINDSOR CV STE 404, COLUMBIA, SC 29223-1833
(803) 900-4849
(888) 350-9919
Mailing address
1057 OAKLAND DR, ELGIN, SC 29045-9279

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
102L00000X
Psychoanalyst
103K00000X
Behavior Analyst
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
4657
SC
103TS0200X
School Psychologist
4657
SC
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
235Z00000X
Speech-Language Pathologist
252Y00000X
Early Intervention Provider Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LP1011
SC
Enumeration date
01/31/2018
Last updated
06/05/2019
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