Provider Demographics
NPI:1972247047
Name:HORN, DEBRA SUE
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:SUE
Last Name:HORN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 GRAND VISTA PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1677
Mailing Address - Country:US
Mailing Address - Phone:832-928-4583
Mailing Address - Fax:
Practice Address - Street 1:5 GROGANS PARK DR STE 112
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2191
Practice Address - Country:US
Practice Address - Phone:832-928-4583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84574101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health