Sanctuary at Windsong, PLLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

MT2766 Issued in FL

Legal business name

SANCTUARY AT WINDSONG, PLLC

Doing business as

Windsong Wellness

Practice address

2806 S US Highway 1
C7
Fort Pierce, FL 34982-8109

Phone

(772) 465-4044

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Brett Lieberman, LMFT

Title

Ceo

Phone

(772) 465-4044

Specialties & licenses 3

Addresses

Other names 1

• Windsong Wellness Doing business as

Locations

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1215393400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 SW AVENS STREET",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "863-877-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 S US HIGHWAY 1",
            "address_2": "C7",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828109",
            "telephone_number": "772-465-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY AT WINDSONG, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "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_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MT2766",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT2766",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsong Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grady Sams
• Vannesa Marie Sanchez-Silva
• Jocelyn Sanchez, RRT
• Lissette Sanchez, CPHT., RPT.
• Magdalena Sanchez
• Susan Parker Sanders, D.C.
• Andrea Eleece Sanderson, COTA
• Kim Sands, RN
• Rufus Sands
• Marshia K Sandy, PA-C

• Addiction (Substance Use Disorder) Counselor in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.