Healthcare Provider Details

I. General information

NPI: 1265597389
Provider Name (Legal Business Name): HORIZON TREATMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24681 NORTHWESTERN HWY SUITE 306
SOUTHFIELD MI
48075-2305
US

IV. Provider business mailing address

6689 ORCHARD LAKE RD STE 138
WEST BLOOMFIELD MI
48322-3404
US

V. Phone/Fax

Practice location:
  • Phone: 248-423-1728
  • Fax: 248-423-1734
Mailing address:
  • Phone: 248-730-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401007914
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL727304
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. MONIQUE SMITH
Title or Position: CEO & COUNSELING PSYCHOLOGIST
Credential: PHD, LPC, NCC, BCPC
Phone: 248-730-3203