Provider Demographics
NPI:1144757923
Name:WININGAR, TONYA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:WININGAR
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10121 SAINT MARTHA LN
Mailing Address - Street 2:
Mailing Address - City:SAINT ANN
Mailing Address - State:MO
Mailing Address - Zip Code:63074-2911
Mailing Address - Country:US
Mailing Address - Phone:314-443-1334
Mailing Address - Fax:
Practice Address - Street 1:10121 SAINT MARTHA LN
Practice Address - Street 2:
Practice Address - City:SAINT ANN
Practice Address - State:MO
Practice Address - Zip Code:63074-2911
Practice Address - Country:US
Practice Address - Phone:314-443-1334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013042513101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional