Healthcare Provider Details

I. General information

NPI: 1831918614
Provider Name (Legal Business Name): HORIZON HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 02/08/2025
Certification Date: 02/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17544 MIDVALE AVE N STE 307
SHORELINE WA
98133-4921
US

IV. Provider business mailing address

420 N SCOTTSDALE RD APT 7026
TEMPE AZ
85288-6995
US

V. Phone/Fax

Practice location:
  • Phone: 206-841-6445
  • Fax:
Mailing address:
  • Phone: 206-841-6445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NIKOLAI HUBER
Title or Position: CEO
Credential:
Phone: 206-841-6445