Organization
MICHELLE HORNER, PSYD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE L HORNER PSYD (OWNER)
(312) 834-4245
Entity
Organization
Contact information
Practice address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(312) 834-4245
Mailing address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
07/10/2024
Last updated
10/31/2024
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