Provider Demographics
NPI:1841496197
Name:HORNE, DANIEL B (PCC-S, LSW)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:B
Last Name:HORNE
Suffix:
Gender:M
Credentials:PCC-S, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 193
Mailing Address - Street 2:
Mailing Address - City:MESOPOTAMIA
Mailing Address - State:OH
Mailing Address - Zip Code:44439-0193
Mailing Address - Country:US
Mailing Address - Phone:440-693-4074
Mailing Address - Fax:440-693-4168
Practice Address - Street 1:9637 STATE ROUTE 534
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062-9516
Practice Address - Country:US
Practice Address - Phone:440-693-4074
Practice Address - Fax:440-693-4168
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS0016972104100000X
OHE0016972101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker