Provider Demographics
NPI:1497532055
Name:HEALING HORIZON, PLLC
Entity Type:Organization
Organization Name:HEALING HORIZON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:517-759-0305
Mailing Address - Street 1:24438 SUMMER LN
Mailing Address - Street 2:
Mailing Address - City:FLAT ROCK
Mailing Address - State:MI
Mailing Address - Zip Code:48134-1835
Mailing Address - Country:US
Mailing Address - Phone:517-759-0305
Mailing Address - Fax:
Practice Address - Street 1:24438 SUMMER LN
Practice Address - Street 2:
Practice Address - City:FLAT ROCK
Practice Address - State:MI
Practice Address - Zip Code:48134-1835
Practice Address - Country:US
Practice Address - Phone:517-759-0305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health