Healthcare Provider Details

I. General information

NPI: 1093469835
Provider Name (Legal Business Name): SAXON DENISE BOWLER BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34921 US HIGHWAY 19 N
PALM HARBOR FL
34684-1969
US

IV. Provider business mailing address

2700 COVE CAY DR UNIT 2F
CLEARWATER FL
33760-1219
US

V. Phone/Fax

Practice location:
  • Phone: 727-450-0678
  • Fax:
Mailing address:
  • Phone: 229-575-6734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27294
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: