Provider Demographics
NPI:1124255617
Name:DWIGHT HORCH, LMFT LLC
Entity type:Organization
Organization Name:DWIGHT HORCH, LMFT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DWIGHT
Authorized Official - Middle Name:
Authorized Official - Last Name:HORCH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:267-987-7827
Mailing Address - Street 1:9 HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8810
Mailing Address - Country:US
Mailing Address - Phone:267-987-7827
Mailing Address - Fax:
Practice Address - Street 1:9 HOLLY DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8810
Practice Address - Country:US
Practice Address - Phone:267-987-7827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FL00163300251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health