Provider Demographics
NPI:1285429605
Name:ONE HORIZON
Entity type:Organization
Organization Name:ONE HORIZON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:MARLON
Authorized Official - Middle Name:JOVON
Authorized Official - Last Name:STUCKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-422-5465
Mailing Address - Street 1:3468 AMBERTON CT
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3210
Mailing Address - Country:US
Mailing Address - Phone:202-422-5465
Mailing Address - Fax:
Practice Address - Street 1:910 S PEARL EXPY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-6046
Practice Address - Country:US
Practice Address - Phone:202-422-5465
Practice Address - Fax:202-422-5465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health