Provider Demographics
NPI:1629767991
Name:HORNE, MARTHA MICHELE
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:MICHELE
Last Name:HORNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6011B NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1331
Mailing Address - Country:US
Mailing Address - Phone:901-297-6679
Mailing Address - Fax:
Practice Address - Street 1:106 MISSION CT STE 304
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6439
Practice Address - Country:US
Practice Address - Phone:615-314-8412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health