Provider Demographics
NPI:1780219196
Name:I. R. HORN & ASSOCIATES LLC
Entity Type:Organization
Organization Name:I. R. HORN & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:IVY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:248-514-7254
Mailing Address - Street 1:29623 NORHTWESTERN HWY SUITE 5
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034
Mailing Address - Country:US
Mailing Address - Phone:248-514-7254
Mailing Address - Fax:
Practice Address - Street 1:29623 NORHTWESTERN HWY SUITE 5
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034
Practice Address - Country:US
Practice Address - Phone:248-514-7254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health