Provider Demographics
NPI:1194952390
Name:HORSES & HOPE EQUINE EMPOWERMENT PROGRAM
Entity type:Organization
Organization Name:HORSES & HOPE EQUINE EMPOWERMENT PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:404-557-8931
Mailing Address - Street 1:1607 CASCADE OVERLOOK
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-3066
Mailing Address - Country:US
Mailing Address - Phone:678-364-9021
Mailing Address - Fax:
Practice Address - Street 1:110 GREEN MEADOW LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30215-6503
Practice Address - Country:US
Practice Address - Phone:404-557-8931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW003694251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health