Provider Demographics
NPI:1932997384
Name:HEALTHY HORIZONS WELLNESS CENTER
Entity type:Organization
Organization Name:HEALTHY HORIZONS WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATRICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROPER
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:937-668-5533
Mailing Address - Street 1:813 TROY ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404-1852
Mailing Address - Country:US
Mailing Address - Phone:937-982-1500
Mailing Address - Fax:937-982-1600
Practice Address - Street 1:1547 W BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1043
Practice Address - Country:US
Practice Address - Phone:937-668-5533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLACE AT VIVIAN'S
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)