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NPI Code Detail

MEDICARE: TRUE HORIZON LLC

MEDICARE: TRUE HORIZON 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
11041C0700XClinical Social Worker6801095650MI

General Provider Information

NPI Number : 1578923892
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUE HORIZON LLC
Provider Business Mailing Address
First Line : 814 N 3RD ST APT 314
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-3579
Country : US
Telephone Number : 616-888-0041
Fax Number : 616-210-3101
Provider Business Practice Location Address
First Line : 441 SWARTZ CT
Second Line :
City : IONIA
State : MI
Zip : 48846-2157
Country : US
Telephone Number : 616-258-2810
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : MRS. TAMERA LEGALO
Credential :
Telephone Number : 989-494-9057
Provider Enumeration Date : 02/29/2016
Last Update Date : 12/18/2025

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