Healthcare Provider Details
I. General information
NPI: 1659296887
Provider Name (Legal Business Name): HORIZON PATHWAYS WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1301 ORLEANS ST
DETROIT MI
48207-2907
US
IV. Provider business mailing address
1301 ORLEANS ST
DETROIT MI
48207-2907
US
V. Phone/Fax
- Phone: 336-837-8321
- Fax:
- Phone: 336-837-8321
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PERRY
MILTON
CABEAN
Title or Position: CEO
Credential: MSW
Phone: 336-837-8321