Organization
NEW HORIZONS FAMILY RESOURCE CENTER, LLC
Active
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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