Provider Demographics
NPI:1689290454
Name:HORNE, PAULA ELEANA (LCSWA)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:ELEANA
Last Name:HORNE
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 BLUE ROCK CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-1833
Mailing Address - Country:US
Mailing Address - Phone:336-314-0224
Mailing Address - Fax:
Practice Address - Street 1:300 S WESTGATE DR STE A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1640
Practice Address - Country:US
Practice Address - Phone:336-907-7308
Practice Address - Fax:336-907-7309
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0133141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical