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General NPI Number Information
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NPI Number | 1659308989
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Entity Type | Organization
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Legal Business Name | HORIZON HEALTH AND WELLNESS, INC.
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 625 N PLAZA DR
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-5501
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Country | US
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Telephone | 480-983-0065
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Fax | 480-671-4541
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Provider Business Mailing Address
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Address Line | 625 N. PLAZA DRIVE
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-5501
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Country | US
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Telephone | 480-983-0065
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Fax | 480-671-4541
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | BILLIE HOLLIDAY
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Credential |
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Telephone | 480-983-0065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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