Healthcare Provider Details

I. General information

NPI: 1376949404
Provider Name (Legal Business Name): HORSES FOR HEALING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2014
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

973 CAMINO HERMOSA
CORRALES NM
87048-8436
US

IV. Provider business mailing address

973 CAMINO HERMOSA
CORRALES NM
87048-8436
US

V. Phone/Fax

Practice location:
  • Phone: 505-803-7459
  • Fax: 505-288-3667
Mailing address:
  • Phone: 505-803-7459
  • Fax: 505-288-3667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CLAIRE ANN BARR-JOHNSON
Title or Position: EXECUTIVE DIRECTOR
Credential: LPCC
Phone: 505-803-7459