New Horizon Wellness Group, LLC

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

Legal business name

NEW HORIZON WELLNESS GROUP, LLC

Practice address

44 Moultrie St
Boston, MA 02124-2230

Phone

(617) 615-6577

NPI assigned

Apr 15, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Desiree Etienne, LADC 1NPI 1164126611

Title

Licensed Alcohol and Drug Counselor

Phone

(617) 615-6577

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Desiree Etienne

  • Addiction (Substance Use Disorder) Counselor
  • Boston, MA
  • NPI 1164126611
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1063266294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1159",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023681159",
            "telephone_number": "617-615-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MOULTRIE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021242230",
            "telephone_number": "617-615-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZON WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "LICENSED ALCOHOL AND DRUG COUNSELOR",
        "authorized_official_telephone_number": "617-615-6577",
        "authorized_official_credential": "LADC 1"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New England Integrated Health Care , Inc
• New England Medical Center
• New England Medical Center Group Practice Inc
• New England Orthotic & Prosthetic Systems, LLC
• New England Physiatry LLC
• New Path Medical LLC
• Macie New
• Peter W Newberry, MD
• Jane W. Newburger, MD
• Michael E Newcomb, MA

• Substance Use Disorder Rehabilitation Hospital Unit in Boston, MA
• Providers in Boston, MA by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.