Provider Demographics
NPI:1457165961
Name:CROWFIELD-BIENAIME, SHARON
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:CROWFIELD-BIENAIME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 HONEY BELL RD # 1-2021
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-2166
Mailing Address - Country:US
Mailing Address - Phone:863-427-8306
Mailing Address - Fax:
Practice Address - Street 1:541 HONEY BELL RD
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-2166
Practice Address - Country:US
Practice Address - Phone:863-427-8306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH24271101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty