Provider Demographics
NPI:1972173722
Name:HORNE-CALHOUN, ROQUEL (LMHC)
Entity Type:Individual
Prefix:
First Name:ROQUEL
Middle Name:
Last Name:HORNE-CALHOUN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 S WOODBURN DR APT A1
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-6351
Mailing Address - Country:US
Mailing Address - Phone:334-370-7151
Mailing Address - Fax:
Practice Address - Street 1:7105 TURNER RD
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-5712
Practice Address - Country:US
Practice Address - Phone:850-270-8345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2023-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22229101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health