Provider Demographics
NPI:1679370969
Name:ALYSSA HORTON, LLC
Entity type:Organization
Organization Name:ALYSSA HORTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW-C
Authorized Official - Phone:734-336-7227
Mailing Address - Street 1:17405 MICHIGAN HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48174-5911
Mailing Address - Country:US
Mailing Address - Phone:734-336-7227
Mailing Address - Fax:
Practice Address - Street 1:17405 MICHIGAN HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48174-5911
Practice Address - Country:US
Practice Address - Phone:734-336-7227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty