Provider Demographics
NPI:1730511890
Name:SHARLENE K KRAEMER LMHC LLC
Entity type:Organization
Organization Name:SHARLENE K KRAEMER LMHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARLENE
Authorized Official - Middle Name:K
Authorized Official - Last Name:KRAEMER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:941-524-0842
Mailing Address - Street 1:17117 GULF BLVD
Mailing Address - Street 2:231
Mailing Address - City:NORTH REDINGTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33708-4400
Mailing Address - Country:US
Mailing Address - Phone:941-524-0842
Mailing Address - Fax:727-342-6847
Practice Address - Street 1:12360 66TH ST
Practice Address - Street 2:D
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-3434
Practice Address - Country:US
Practice Address - Phone:941-524-0842
Practice Address - Fax:727-342-6847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7022251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health