Provider Demographics
NPI:1487866695
Name:HORVATH, COLLEEN ANNE (LICDC-CS)
Entity Type:Individual
Prefix:MISS
First Name:COLLEEN
Middle Name:ANNE
Last Name:HORVATH
Suffix:
Gender:F
Credentials:LICDC-CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:OH
Mailing Address - Zip Code:43977-9734
Mailing Address - Country:US
Mailing Address - Phone:740-283-7875
Mailing Address - Fax:740-283-7853
Practice Address - Street 1:380 SUMMIT AVE
Practice Address - Street 2:BEHAVIORAL MEDICINE 2ND FLOOR
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952
Practice Address - Country:US
Practice Address - Phone:740-283-7875
Practice Address - Fax:740-283-7853
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH021108101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)