Healthcare Provider Details

I. General information

NPI: 1356020804
Provider Name (Legal Business Name): AARON LEIGH HORTON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 SOUTHTOWN DR STE 106
GRANBURY TX
76048-2667
US

IV. Provider business mailing address

301 E HWY 377 STE 112
GRANBURY TX
76048-1202
US

V. Phone/Fax

Practice location:
  • Phone: 855-579-5323
  • Fax: 855-579-5323
Mailing address:
  • Phone: 817-736-1122
  • Fax: 817-857-9632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number92077
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: