Windsong Wellness, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

WINDSONG WELLNESS, LLC

Practice address

1562 SE Village Green Dr Ste 5And7
Port Saint Lucie, FL 34952-5100

Phone

(772) 465-4044

Fax

(772) 468-6894

NPI assigned

Apr 30, 2020

Last updated

May 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brett Lieberman, LMFTNPI 1427364280

Title

Ceo

Phone

(772) 465-4044

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett Lieberman

  • Marriage & Family Therapist
  • Port Saint Lucie, FL
  • NPI 1427364280
  NPD Authorized official

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1184245144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 SW AVENS ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832506",
            "telephone_number": "772-465-4044",
            "fax_number": "772-468-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 SE VILLAGE GREEN DR STE 5AND7",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525100",
            "telephone_number": "772-465-4044",
            "fax_number": "772-468-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSONG WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-465-4044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanne Wilm, BSW
• Carol Wilson
• Sandra Wilson
• Tiffany Wilson, MSW
• Windsong Wellness Center for Recovery, LLC
• Maurice Winnick, DO
• Javon A. Winsett, DDS
• Christelle Wise
• Velma Wizzard
• Nadine Patricia Wollaston-Lewers, OTR/L

• Marriage & Family Therapist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.