Healthcare Provider Details

I. General information

NPI: 1295667640
Provider Name (Legal Business Name): HORIZON BEHAVIORAL HEALTH AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2109 LEXINGTON AVE
CASPER WY
82609-2947
US

IV. Provider business mailing address

2109 LEXINGTON AVE
CASPER WY
82609-2947
US

V. Phone/Fax

Practice location:
  • Phone: 307-734-9819
  • Fax: 307-293-6543
Mailing address:
  • Phone: 307-734-9819
  • Fax: 307-293-6543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DAWN MARIE MARTINEZ
Title or Position: OWNER
Credential: PHD, LPC
Phone: 605-431-2412