Wings of Hope Family Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WINGS OF HOPE FAMILY BEHAVIORAL HEALTH LLC

Practice address

2313 17TH St
Portsmouth, OH 45662-3223

Phone

(740) 727-4801

NPI assigned

Jan 4, 2019

Organization subpart

No

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

Authorized official

Name

Maxine Malone, CDCA

Title

Director

Phone

(740) 727-4801

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1457824237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 17TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623223",
            "telephone_number": "740-727-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 17TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623223",
            "telephone_number": "740-727-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF HOPE FAMILY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "740-727-4801",
        "authorized_official_credential": "CDCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levi Colton Wilson
• Matthew Lawrence Wilson, ATC
• Michele Marlene Wilson
• Sarah Marie Wilson
• Trista Nicole Wilson
• Wings of Hope Recovery Services Inc
• April Dawn Winkler, CNP
• David Winters, R.N.
• Laura Winters
• Tiffany Winters

• Community/Behavioral Health Agency in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.