Provider Demographics
NPI:1558862193
Name:HORIZON WELLNESS SERVICES
Entity Type:Organization
Organization Name:HORIZON WELLNESS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOREESE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCCURDY-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-561-2699
Mailing Address - Street 1:3349 CEREMONY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3778
Mailing Address - Country:US
Mailing Address - Phone:702-561-2699
Mailing Address - Fax:
Practice Address - Street 1:3349 CEREMONY DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3778
Practice Address - Country:US
Practice Address - Phone:702-561-2699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health