SANCTUARY AT WINDSONG, PLLC (NPI# 1215393400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215393400 |
| Entity Type | Organization |
| Organization Name | SANCTUARY AT WINDSONG, PLLC |
| Other Organization Name | WINDSONG WELLNESS |
| Practice Address |
2806 S Us Highway 1 C7 Fort Pierce FL 34982-8109 |
| Mailing Address |
1238 Sw Avens Street Port Saint Lucie FL 34983 |
| Practice Telephone | 7724654044 |
| Mailing Telephone | 8638776757 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |
| Authorized Official Name | BRETT LIEBERMAN (CEO) |
| Authorized Official Telephone | 7724654044 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MT2766 | FL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MT2766 | FL | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MT2766 | FL | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Windsong Wellness | Doing Business As Name - Organization |
| Street Address |
2806 S US HIGHWAY 1 C7 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34982-8109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093994394 | Donald Gregory Berch | Counselor | 2806 S Us Highway 1, Fort Pierce, FL 34982-8109 | 2007-11-02 |
| 1861742033 | Elizabeth A Simonetti | Case Manager/Care Coordinator | 2806 S Us Highway 1, Fort Pierce, FL 34982-8109 | 2012-09-14 |
| 1336498500 | Dianne Oliver Schulz | Community Health Worker | 2806 S Us Highway 1, Fort Pierce, FL 34982-8109 | 2012-09-04 |
| 1245588367 | Michelle Williamson | Case Manager/Care Coordinator | 2806 S Us Highway 1, Fort Pierce, FL 34982-8109 | 2012-08-21 |
| 1497011514 | Lauren Leigh Odell | Marriage & Family Therapist | 2806 S Us Highway 1, Suite C-7, Fort Pierce, FL 34982-8109 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759305 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 | 2019-09-17 |
| 1548732159 | Regenerative Medical Group Inc | Family Medicine | 2624 S, Us1, Fort Pierce, FL 34982 | 2018-12-20 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1821585514 | Coralis Ivette Reyes | Social Worker | 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 | 2018-04-18 |
| 1720509441 | Quality Care Holdings Inc | Non-emergency Medical Transport (VAN) | 3247 Oleander Ave Suite A5, Fort Pierce, FL 34982 | 2017-07-03 |
| 1770013377 | Kira Patricia Omeally | Assistant Behavior Analyst | 2106 Linda Sue Circle #105, Fort Pierce, FL 34982 | 2017-06-15 |
| 1124557483 | Linda S Colebrooke | Marriage & Family Therapist | 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2017-06-08 |
| 1619404845 | Angili Hamilton | Social Worker | 2814 South .s. Hwy 1 Suite D4, Fort. Pierce, FL 34982 | 2017-05-18 |
| 1881146652 | Tasha Daley | Community Health Worker | 3215 S Hwy 1 Suite F, Fort Pierce, FL 34982 | 2016-10-27 |
| 1952792764 | Casper Lockwood | Case Manager/Care Coordinator | 2814 South U.s Hwsy 1, Suite D4, Fort Pierce, FL 34982 | 2015-02-16 |
| Find all providers in zip 34982 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669949459 | Joseph Kevin Roberts | Counselor | 7100 Winter Garden Pkwy, Fort Pierce, FL 34951-1839 | 2018-10-30 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1821504473 | Dunsleys Valladares | Counselor | 1302 N Lawnwood Cir Apt B, Fort Pierce, FL 34950-4806 | 2017-12-19 |
| 1588017933 | L&l Clinical Counseling Services, LLC | Counselor | 130 S Indian River Drive, Ste 202, Fort Pierce, FL 34952 | 2016-07-21 |
| 1356709844 | Thomas Comerford IIi | Counselor | 1302 N Lawnwood Cir, Suite B, Fort Pierce, FL 34950-4806 | 2016-01-29 |
| 1710501523 | Melissa Ripa | Counselor | 1302 N Lawnwood Cir, Fort Pierce, FL 34950-4806 | 2020-06-08 |
| 1578103131 | Colleen Chittenden | Counselor | 1302 N Lawnwood Cir, Fort Pierce, FL 34950-4806 | 2020-01-13 |
| 1275090748 | Ashley Lane | Counselor | 1302 N Lawnwood Cir, Fort Pierce, FL 34950-4806 | 2019-02-21 |
| 1104309384 | Jonathan Eurick | Counselor | 1302 N Lawnwood Cir, Fort Pierce, FL 34950-4806 | 2018-09-13 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34982 |
Please comment or provide details below to improve the information on SANCTUARY AT WINDSONG, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.