MRS. CONNIE MARIJA HORNE M.A. LPCA NPI 1578808978

NPI Information

  • NPI: 1578808978
  • Provider Name: MRS. CONNIE MARIJA HORNE, M.A. LPCA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 11130 CAPITAL BLVD
    WAKE FOREST, NC
    ZIP 27587
  • Phone: (919) 488-4094

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NPI Details

MRS. Connie Marija Horne, M.A. LPCA is a mental health counselor in Wake Forest, NC. MRS. Connie Marija Horne, M.A. LPCA NPI is 1578808978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11130 CAPITAL BLVD
WAKE FOREST, NC
ZIP 27587-513
Phone: (919) 488-4094
Fax: (919) 488-4096

The enumeration date for this NPI number is 12/11/2012 and was last updated on 8/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health178.007287ILLINOISNo
2101YM0800XCounselorMental HealthA8691NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18691OTHERNORTH CAROLINALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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