Provider Demographics
NPI:1962748392
Name:HORNE, CHRISTINE (LMHC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:HORNE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4460 S HIGHLAND DR STE 210
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-3550
Mailing Address - Country:US
Mailing Address - Phone:888-949-4864
Mailing Address - Fax:904-448-4717
Practice Address - Street 1:425 S 2220 W APT 202
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-3183
Practice Address - Country:US
Practice Address - Phone:904-525-2890
Practice Address - Fax:904-448-4717
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15100101YM0800X, 101YP2500X
UT11631941-6004101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional