Provider Demographics
NPI:1265796361
Name:HORIZONS MENTAL HEALTH LLC
Entity type:Organization
Organization Name:HORIZONS MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:HASAN
Authorized Official - Last Name:WAQAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-540-9335
Mailing Address - Street 1:8849 HAWBUCK ST
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5361
Mailing Address - Country:US
Mailing Address - Phone:727-376-3652
Mailing Address - Fax:727-376-3652
Practice Address - Street 1:8849 HAWBUCK ST
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-5361
Practice Address - Country:US
Practice Address - Phone:727-376-3652
Practice Address - Fax:727-376-3652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96486103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty