The Neon Movement Wellness Center LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

THE NEON MOVEMENT WELLNESS CENTER LLC

Practice address

185 E Main St Ste 405
Benton Harbor, MI 49022-4432

Phone

(269) 588-1119

NPI assigned

Aug 11, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kibra L Van Horn-Williams, CPT

Title

Owner

Phone

(269) 861-1169

Specialties & licenses 1

Addresses

Other names 1

• The Neon Movement Wellness Center Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kibra La'Tise Vanhorn

  • Rehabilitation Practitioner
  • Benton Harbor, MI
  • NPI 1043106982
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1376428938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 SAINT THOMAS ST UNIT B",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490223908",
            "telephone_number": "269-861-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E MAIN ST STE 405",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224432",
            "telephone_number": "269-588-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEON MOVEMENT WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "VAN HORN-WILLIAMS",
        "authorized_official_first_name": "KIBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-861-1169",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Neon Movement Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nicholas Thielmann, LLMSW
• Edson U Thomas, MSW
• Lavonda Thomas

• All providers in Benton Harbor, MI
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.