Healthcare Provider Details

I. General information

NPI: 1497650410
Provider Name (Legal Business Name): THE RETREAT ON HORNE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 E HORNE ST
CLAYTON NC
27520-2445
US

IV. Provider business mailing address

313 E HORNE ST
CLAYTON NC
27520-2445
US

V. Phone/Fax

Practice location:
  • Phone: 919-585-7515
  • Fax:
Mailing address:
  • Phone: 919-634-5333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DARLENE EARL
Title or Position: OWNER
Credential: LMBT
Phone: 919-634-5333