Provider Demographics
NPI:1629697461
Name:HORIZON PSYCHOLOGICAL SERVICES, PLLC.
Entity Type:Organization
Organization Name:HORIZON PSYCHOLOGICAL SERVICES, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HIRAL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:404-483-6494
Mailing Address - Street 1:1447 E GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48875-1631
Mailing Address - Country:US
Mailing Address - Phone:616-227-0555
Mailing Address - Fax:517-647-1100
Practice Address - Street 1:1447 E GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:MI
Practice Address - Zip Code:48875-1631
Practice Address - Country:US
Practice Address - Phone:616-227-0555
Practice Address - Fax:517-647-1100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-12
Last Update Date:2020-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty