Provider Demographics
NPI:1528856374
Name:EMBER HORIZON COUNSELING LLC
Entity type:Organization
Organization Name:EMBER HORIZON COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLACINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:630-456-6206
Mailing Address - Street 1:1503 BRISTOL DR N
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-1523
Mailing Address - Country:US
Mailing Address - Phone:615-200-7661
Mailing Address - Fax:
Practice Address - Street 1:1550 N MOUNT JULIET RD STE 118
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3786
Practice Address - Country:US
Practice Address - Phone:615-200-7661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty