Healthcare Provider Details

I. General information

NPI: 1336329002
Provider Name (Legal Business Name): BUILDING NEW HORIZONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2007
Last Update Date: 11/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2843 ALT 19
PALM HARBOR FL
34683-1926
US

IV. Provider business mailing address

2843 ALT 19
PALM HARBOR FL
34683-1926
US

V. Phone/Fax

Practice location:
  • Phone: 727-781-1000
  • Fax: 727-787-2384
Mailing address:
  • Phone: 727-781-1000
  • Fax: 727-787-2384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number879732
License Number StateFL

VIII. Authorized Official

Name: MS. SHARON M. KRIEGER
Title or Position: OWNER, CEO
Credential: MS, ARNP
Phone: 727-781-1000