Healthcare Provider Details

I. General information

NPI: 1336895994
Provider Name (Legal Business Name): HORIZONS THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2022
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 7TH AVE N STE 131
SAINT CLOUD MN
56303-4753
US

IV. Provider business mailing address

3063 12TH AVE N
SARTELL MN
56377-4833
US

V. Phone/Fax

Practice location:
  • Phone: 320-460-1664
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOEL BERSHOK
Title or Position: OWNER / THERAPIST
Credential: MSW, LICSW
Phone: 320-460-1664