Provider Demographics
NPI:1598331845
Name:UNBROKEN EQUINE-FACILITATED HEALING
Entity Type:Organization
Organization Name:UNBROKEN EQUINE-FACILITATED HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-309-5020
Mailing Address - Street 1:1025 COUNTY ROAD 463
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-5319
Mailing Address - Country:US
Mailing Address - Phone:512-309-5020
Mailing Address - Fax:
Practice Address - Street 1:1025 COUNTY ROAD 463
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-5319
Practice Address - Country:US
Practice Address - Phone:512-309-5020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty