Windward Behavioral Care, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

WINDWARD BEHAVIORAL CARE, INC.

Practice address

245 S. Amelia Avenue
BLDG. a
Deland, FL 32724-5913

Phone

(386) 258-5050

Fax

(386) 252-3506

NPI assigned

Apr 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Bensen, PH.D.

Title

Executive Director

Phone

(386) 258-5050

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Serenity Houseof Volusia, Inc./Haven Recovery Center Inc. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leighann Straughen, L.M.H.C.

  • Mental Health Counselor
  • Deland, FL
  • NPI 1477966869
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1023071198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2196",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321152196",
            "telephone_number": "386-258-5050",
            "fax_number": "386-252-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S. AMELIA AVENUE",
            "address_2": "BLDG. A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245913",
            "telephone_number": "386-258-5050",
            "fax_number": "386-252-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWARD BEHAVIORAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "BENSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-258-5050",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "324500000X",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0299804-01",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Houseof Volusia, Inc./Haven Recovery Center Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Roderick Williams Jr.
• Tiffany Ann Williams, RBT
• Casey V Wilson, PHYSICIAN ASSISTANT
• Mary Mae Abigail Wilson, LCSW
• Anne Elyse Windham, BCBA
• Kylie Webb Tresher Winquist, PA-C
• Women'S Care First PA
• Kurt T. Wood, PA-C
• Woodland Towers
• Woodlands Extended Care Inc

• Substance Abuse Rehabilitation Facility in Deland, FL
• Providers in Deland, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.