Healthcare Provider Details

I. General information

NPI: 1417860347
Provider Name (Legal Business Name): OPEN HORIZON PSYCHOLOGY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40905 MAGNOLIA DR W
CLINTON TOWNSHIP MI
48038-4103
US

IV. Provider business mailing address

40905 MAGNOLIA DR W
CLINTON TOWNSHIP MI
48038-4103
US

V. Phone/Fax

Practice location:
  • Phone: 586-291-7571
  • Fax:
Mailing address:
  • Phone: 586-291-7571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK GLEN MURAWSKI III
Title or Position: OWNER/MANAGING MEMBER
Credential: LLP
Phone: 586-291-7571