| Horizon Psychotherapy Llc | |
|
3354 N Paulina St Ste 206f Chicago IL 60657-1087 | |
| (219) 916-0822 | |
| Not Available |
| Full Name | Horizon Psychotherapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3354 N Paulina St Ste 206f, Chicago, Illinois |
| Authorized Official Name and Position | Robert Russell Dunevant (SUPERVISOR AND PSYCHOTHERAPIST) |
| Authorized Official Contact | 2199160822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Psychotherapy Llc 3522 N Pine Grove Ave Unit B Chicago IL 60657-7381 Ph: (219) 916-0822 | Horizon Psychotherapy Llc 3354 N Paulina St Ste 206f Chicago IL 60657-1087 Ph: (219) 916-0822 |
| NPI Number | 1841872082 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841872082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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