Provider Demographics
NPI:1457032260
Name:HORNS, RONNIE (LPC)
Entity Type:Individual
Prefix:
First Name:RONNIE
Middle Name:
Last Name:HORNS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14531 OLD NASHVILLE HWY APT 4305
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6627
Mailing Address - Country:US
Mailing Address - Phone:240-907-8363
Mailing Address - Fax:
Practice Address - Street 1:14531 OLD NASHVILLE HWY APT 4305
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6627
Practice Address - Country:US
Practice Address - Phone:240-907-8363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6593101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty