MEDICARE: HORIZON WELLNESS SERVICES

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1558862193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON WELLNESS SERVICES

Provider Business Mailing Address
First Line	:	3349 CEREMONY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3778
Country	:	US
Telephone Number	:	702-561-2699
Fax Number	:

Provider Business Practice Location Address
First Line	:	3349 CEREMONY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3778
Country	:	US
Telephone Number	:	702-561-2699
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DOREESE S MCCURDY-JOHNSON
Credential	:
Telephone Number	:	702-561-2699

Provider Enumeration Date	:	02/27/2018
Last Update Date	:	02/27/2018

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Directions to “HORIZON WELLNESS SERVICES ” Practice Location

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