Provider Demographics
NPI:1255380176
Name:HORIZON MENTAL HEALTH MANAGEMENT LLC
Entity type:Organization
Organization Name:HORIZON MENTAL HEALTH MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:PO BOX 840839
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0839
Mailing Address - Country:US
Mailing Address - Phone:972-420-8200
Mailing Address - Fax:972-420-7770
Practice Address - Street 1:401 E CORPORATE DR STE 100
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-6426
Practice Address - Country:US
Practice Address - Phone:972-420-8200
Practice Address - Fax:972-420-7770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000013192OtherMEDICARE - WISCONSIN PHYSICIANS SERVICE INSURANCE CORP
AL168242 MOBILE IMCMedicaid
AL102G709179OtherMEDICARE, GROUP - CAHABA GBA
TN103G702344OtherMEDICARE, GROUP - CAHABA GBA
ALDU3470OtherRR MEDICARE
MSDO1307OtherRR MEDICARE
AL150232 NORTH BALDWINMedicaid
TN1527956Medicaid
AL167651 OAKWOODMedicaid
AR369667OtherMEDICARE, NOVITAS
MSC02158OtherMEDICARE, NOVITAS
MODN8357OtherRR MEDICARE
AR207379002Medicaid
IA70064OtherMEDICARE, WPS
MS9014277Medicaid
AL102G709179OtherMEDICARE, GROUP - CAHABA GBA
MODN8357OtherRR MEDICARE
TN1527956Medicaid