MEDICARE: HORIZON BEHAVIORAL HEALTH AND WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1295667640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON BEHAVIORAL HEALTH AND WELLNESS, LLC

Provider Business Mailing Address
First Line	:	2109 LEXINGTON AVE
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82609-2947
Country	:	US
Telephone Number	:	307-734-9819
Fax Number	:	307-293-6543

Provider Business Practice Location Address
First Line	:	2109 LEXINGTON AVE
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82609-2947
Country	:	US
Telephone Number	:	307-734-9819
Fax Number	:	307-293-6543

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAWN MARIE MARTINEZ
Credential	:	PHD, LPC
Telephone Number	:	605-431-2412

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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