MEDICARE: HORSEWORKPBC

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1417581216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORSEWORKPBC

Provider Business Mailing Address
First Line	:	745 US 1 STE 201
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4409
Country	:	US
Telephone Number	:	561-386-0031
Fax Number	:	561-727-8756

Provider Business Practice Location Address
First Line	:	745 US 1 STE 201
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4409
Country	:	US
Telephone Number	:	561-386-0031
Fax Number	:	561-727-8756

Authorized Official
Title or Position	:	CEO/SUPERVISOR
Name	:	MS. MARY REBECCA DYMOND
Credential	:	LMHC
Telephone Number	:	561-386-0031

Provider Enumeration Date	:	03/02/2020
Last Update Date	:	03/02/2020

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Directions to “HORSEWORKPBC ” Practice Location

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