Windsong Wellness Center for Recovery, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

WINDSONG WELLNESS CENTER FOR RECOVERY, LLC

Practice address

1914 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5514

Phone

(772) 349-0218

NPI assigned

Feb 12, 2018

Last updated

Feb 12, 2018By 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

Brett Lieberman, LMFT

Title

Ceo

Phone

(772) 349-0218

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1821597238",
    "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": "561-252-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525514",
            "telephone_number": "772-349-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSONG WELLNESS CENTER FOR RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-349-0218",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Rachelle Wills, APRN, FNP-C
• Susanne Wilm, BSW
• Carol Wilson
• Sandra Wilson
• Tiffany Wilson, MSW
• Windsong Wellness, LLC
• Maurice Winnick, DO
• Javon A. Winsett, DDS
• Christelle Wise
• Velma Wizzard

• Substance Use Disorder Rehabilitation Clinic/Center in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.