Provider Demographics
NPI:1548948755
Name:NEW HEIGHTS THERAPY LLC
Entity type:Organization
Organization Name:NEW HEIGHTS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:HANCOCK
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:770-695-2020
Mailing Address - Street 1:2145 WHITTINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-8102
Mailing Address - Country:US
Mailing Address - Phone:770-695-2020
Mailing Address - Fax:770-627-3240
Practice Address - Street 1:4595 TOWNE LAKE PARKWAY
Practice Address - Street 2:BUILDING 300 SUITE 250
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189
Practice Address - Country:US
Practice Address - Phone:770-695-2020
Practice Address - Fax:770-627-3240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty