Provider Demographics
NPI:1578766424
Name:HORN, MICHELE PAIGE (LMFT)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:PAIGE
Last Name:HORN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 DICKASON AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4911
Mailing Address - Country:US
Mailing Address - Phone:972-489-2658
Mailing Address - Fax:214-559-2699
Practice Address - Street 1:2415 COIT RD
Practice Address - Street 2:SUITE B
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-3758
Practice Address - Country:US
Practice Address - Phone:972-489-2658
Practice Address - Fax:214-559-2699
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist