Healthcare Provider Details

I. General information

NPI: 1952811341
Provider Name (Legal Business Name): HORIZON INTEGRATED WELLNESS GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2017
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 TOWERVIEW CT
CARY NC
27513-3595
US

IV. Provider business mailing address

120 TOWERVIEW CT
CARY NC
27513-3595
US

V. Phone/Fax

Practice location:
  • Phone: 516-902-6141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARY L. AFFEE
Title or Position: OWNER
Credential: LCSW
Phone: 516-902-6141