Healthcare Provider Details

I. General information

NPI: 1578923892
Provider Name (Legal Business Name): TRUE HORIZON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 SWARTZ CT
IONIA MI
48846-2157
US

IV. Provider business mailing address

814 N 3RD ST APT 314
WILMINGTON NC
28401-3579
US

V. Phone/Fax

Practice location:
  • Phone: 616-258-2810
  • Fax:
Mailing address:
  • Phone: 616-888-0041
  • Fax: 616-210-3101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801095650
License Number StateMI

VIII. Authorized Official

Name: MRS. TAMERA LEGALO
Title or Position: CREDENTIALING
Credential:
Phone: 989-494-9057