Provider Demographics
NPI:1225382252
Name:HEATHER M. WIND MSW, INC. PS
Entity Type:Organization
Organization Name:HEATHER M. WIND MSW, INC. PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MANON
Authorized Official - Last Name:WIND
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:206-915-6474
Mailing Address - Street 1:534 WESTLAKE AVE N
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4305
Mailing Address - Country:US
Mailing Address - Phone:206-915-6474
Mailing Address - Fax:
Practice Address - Street 1:534 WESTLAKE AVE N
Practice Address - Street 2:SUITE 240
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4305
Practice Address - Country:US
Practice Address - Phone:206-915-6474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW60246270251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health