Provider Demographics
NPI:1578155628
Name:HORTON, EMILY GRACE (LPC, LCDC, NCC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:GRACE
Last Name:HORTON
Suffix:
Gender:F
Credentials:LPC, LCDC, NCC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:MCCREARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LCDC, NCC
Mailing Address - Street 1:PO BOX 439
Mailing Address - Street 2:
Mailing Address - City:FALLS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78113-0439
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13774 US HIGHWAY 87 W
Practice Address - Street 2:
Practice Address - City:LA VERNIA
Practice Address - State:TX
Practice Address - Zip Code:78121-5931
Practice Address - Country:US
Practice Address - Phone:210-616-0885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82220101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health