Provider Demographics
NPI:1740570134
Name:HORSES AND HEROES LLC
Entity Type:Organization
Organization Name:HORSES AND HEROES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH/EQUINE PROFESSIONAL
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, RPT-S
Authorized Official - Phone:507-261-1296
Mailing Address - Street 1:5645 MEADOW DR SE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-8628
Mailing Address - Country:US
Mailing Address - Phone:507-261-1296
Mailing Address - Fax:507-536-7664
Practice Address - Street 1:5645 MEADOW DR SE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-8628
Practice Address - Country:US
Practice Address - Phone:507-261-1296
Practice Address - Fax:507-536-7664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00270101YP2500X
MN83851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty