| Horizon Therapy Group, Llc | |
|
300 W Broadway Suite 270 Council Bluffs IA 51503-9045 | |
| (712) 256-7511 | |
| (712) 256-9766 |
| Full Name | Horizon Therapy Group, Llc |
|---|---|
| Speciality | Counselor |
| Location | 300 W Broadway, Council Bluffs, Iowa |
| Authorized Official Name and Position | Kaylee Marie Michalski (PARTNER/OWNER) |
| Authorized Official Contact | 7122567511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Therapy Group, Llc 300 W Broadway Suite 270 Council Bluffs IA 51503-9045 Ph: (712) 256-7511 | Horizon Therapy Group, Llc 300 W Broadway Suite 270 Council Bluffs IA 51503-9045 Ph: (712) 256-7511 |
| NPI Number | 1457305518 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 08/27/2007 |
| Medicare PECOS PAC ID | 0244243475 |
|---|---|
| Medicare Enrollment ID | O20060711000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457305518 | NPI | - | NPPES |
| Provider Name | James Davin Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801839444 PECOS PAC ID: 3072501956 Enrollment ID: I20040501000235 |
| Provider Name | Kaylee M Michalski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780637843 PECOS PAC ID: 2062425291 Enrollment ID: I20060711000149 |
| Provider Name | Sandra G Redshaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386698447 PECOS PAC ID: 4789697913 Enrollment ID: I20060711000158 |
| Provider Name | Terry M Ideker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326227224 PECOS PAC ID: 2264590843 Enrollment ID: I20090327000300 |
| Provider Name | Diana E Hoogestraat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508184581 PECOS PAC ID: 7911175195 Enrollment ID: I20110713000563 |
| Provider Name | Heather M Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619035425 PECOS PAC ID: 0244276079 Enrollment ID: I20120419000146 |
| Provider Name | Lisa J Bellows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174597751 PECOS PAC ID: 9335523430 Enrollment ID: I20220908000289 |
| Provider Name | Alyssa Coughennower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346960978 PECOS PAC ID: 5092191205 Enrollment ID: I20220926001148 |
| Provider Name | Suzan M Loverink |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992008577 PECOS PAC ID: 3375989791 Enrollment ID: I20240307003402 |
| Provider Name | Patricia J Salvo-mcginn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265479653 PECOS PAC ID: 7416960646 Enrollment ID: I20240517002230 |
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