Provider Demographics
NPI:1003470097
Name:WYOMING WINDS COUNSELING, LLC
Entity Type:Organization
Organization Name:WYOMING WINDS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:307-575-8592
Mailing Address - Street 1:PO BOX 788
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:WY
Mailing Address - Zip Code:82240-0788
Mailing Address - Country:US
Mailing Address - Phone:307-575-8592
Mailing Address - Fax:307-532-7641
Practice Address - Street 1:100 E 27TH AVE
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:WY
Practice Address - Zip Code:82240-2006
Practice Address - Country:US
Practice Address - Phone:307-575-8592
Practice Address - Fax:307-532-7641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1467726513OtherCURRENT INDIVIDUAL NPI NUMBER