Provider Demographics
NPI:1568653160
Name:EXPANDING HORIZONS
Entity Type:Organization
Organization Name:EXPANDING HORIZONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:407-301-3791
Mailing Address - Street 1:816 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-3371
Mailing Address - Country:US
Mailing Address - Phone:407-301-3791
Mailing Address - Fax:407-902-0019
Practice Address - Street 1:3419 CYPRESS POINT CIR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34772-8615
Practice Address - Country:US
Practice Address - Phone:407-301-3791
Practice Address - Fax:407-902-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty