Healthcare Provider Details

I. General information

NPI: 1821825019
Provider Name (Legal Business Name): ERIN HORNE LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN HORNE LMSW-C

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29500 SOUTHFIELD RD STE 100
SOUTHFIELD MI
48076-2036
US

IV. Provider business mailing address

29500 SOUTHFIELD RD STE 100
SOUTHFIELD MI
48076-2036
US

V. Phone/Fax

Practice location:
  • Phone: 248-765-1795
  • Fax:
Mailing address:
  • Phone: 248-765-1795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801122263
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: