Healthcare Provider Details

I. General information

NPI: 1669354536
Provider Name (Legal Business Name): HAILEY HORN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 N GRANT ST
DENVER CO
80203-3506
US

IV. Provider business mailing address

10190 BANNOCK ST STE 120
NORTHGLENN CO
80260-6052
US

V. Phone/Fax

Practice location:
  • Phone: 720-445-9979
  • Fax:
Mailing address:
  • Phone: 720-826-3499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: