Healthcare Provider Details

I. General information

NPI: 1235864844
Provider Name (Legal Business Name): HORIZON COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 07/18/2022
Certification Date: 07/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 S MAIN ST STE 212
CENTERVILLE UT
84014-1841
US

IV. Provider business mailing address

25 S MAIN ST STE 212
CENTERVILLE UT
84014-1841
US

V. Phone/Fax

Practice location:
  • Phone: 801-663-6006
  • Fax:
Mailing address:
  • Phone: 801-663-6006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CRYSTALYN HORI-WILSON
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: CMHC
Phone: 801-663-6006