Wind Song Behavioral Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WIND SONG BEHAVIORAL HEALTH SERVICES LLC

Practice address

224 W Coal Ave
Gallup, NM 87301-6306

Phone

(970) 672-7668

NPI assigned

Apr 20, 2022

Organization subpart

No

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

Authorized official

Name

Sherry Jefcoat

Title

Managing Member

Phone

(970) 672-7668

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1508500174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W COAL AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016306",
            "telephone_number": "970-672-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W COAL AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016306",
            "telephone_number": "970-672-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND SONG BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2023-09-21",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "JEFCOAT",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "970-672-7668"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Pearl Wilson, REGISTERED NURSE
• Mark Wilson
• Patricia Wilson, RN
• Rebecca J Wilson, NP-C
• Teicha Wilson, MD
• Christa Wingo, RN
• Larry Winn, ED.D.
• Robert Wisnewski, DOM
• Jennifer Rae Withers, RN
• Joann Witte

• Community/Behavioral Health Agency in Gallup, NM
• Providers in Gallup, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.