Healthcare Provider Details

I. General information

NPI: 1164237715
Provider Name (Legal Business Name): HEALING HORIZONS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3127 SW HUNTOON ST STE D
TOPEKA KS
66604-1600
US

IV. Provider business mailing address

3127 SW HUNTOON ST STE D
TOPEKA KS
66604-1600
US

V. Phone/Fax

Practice location:
  • Phone: 785-342-4084
  • Fax:
Mailing address:
  • Phone: 785-342-4084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KATIE M HOLM
Title or Position: OWNER
Credential: LMLP
Phone: 785-342-4084