Wings of Hope Therapy Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WINGS OF HOPE THERAPY CENTER LLC

Practice address

2825 N 10TH St Ste A2
St Augustine, FL 32084-1872

Phone

(904) 994-0903

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Carolyn Moldovanyi, LMHCNPI 1639233026

Title

Owner

Phone

(904) 994-0903

Specialties & licenses 1

Addresses

Tax ID family

Wings of Hope Therapy Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wings of Hope Therapy Center LLC

  • Marriage & Family Therapist
  • Saint Augustine, FL
  • NPI 1215819677
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Moldovanyi, LMHC, LMFT

  • Marriage & Family Therapist
  • St Augustine, FL
  • NPI 1639233026

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1922844174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 N 10TH ST STE A2",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841872",
            "telephone_number": "904-994-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N 10TH ST STE A2",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841872",
            "telephone_number": "904-994-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF HOPE THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "MOLDOVANYI",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-994-0903",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uliana Wilson
• Brooke Alison Wimberley, DNP, FNP-BC
• Phillip Alex Wimpelberg, PA
• Jon Windom, DDS
• Wings of Hope Therapy Center LLC
• Nicole Winkels, APRN
• Janet Wiseman, LMHC
• Ashley Nichole Wisser, RDN
• Nathan Withrow
• Bruce R Witten, M.D.

• Mental Health Counselor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.