Provider Demographics
NPI:1124568092
Name:HORNE, AMY S (LCMHC, CIMHP, CIMNTT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:S
Last Name:HORNE
Suffix:
Gender:F
Credentials:LCMHC, CIMHP, CIMNTT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8960 CHERRYS FORD CT
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-9679
Mailing Address - Country:US
Mailing Address - Phone:910-658-7434
Mailing Address - Fax:
Practice Address - Street 1:8960 CHERRYS FORD COURT
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075
Practice Address - Country:US
Practice Address - Phone:910-658-7434
Practice Address - Fax:980-422-0424
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-27
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24315101YA0400X
NC12814101YM0800X, 101YP2500X
NC106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty