Provider Demographics
NPI:1417581216
Name:HORSEWORKPBC
Entity Type:Organization
Organization Name:HORSEWORKPBC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:DYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-386-0031
Mailing Address - Street 1:745 US 1 STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4409
Mailing Address - Country:US
Mailing Address - Phone:561-386-0031
Mailing Address - Fax:561-727-8756
Practice Address - Street 1:745 US 1 STE 201
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4409
Practice Address - Country:US
Practice Address - Phone:561-386-0031
Practice Address - Fax:561-727-8756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty