Provider Demographics
NPI:1235314410
Name:WIND WHISTLE ENT., INC.
Entity Type:Organization
Organization Name:WIND WHISTLE ENT., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:210-279-5290
Mailing Address - Street 1:19014 LOOKOUT MOUNTAIN TRL
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-3241
Mailing Address - Country:US
Mailing Address - Phone:210-279-5290
Mailing Address - Fax:210-695-5429
Practice Address - Street 1:501 W CANTU RD STE 400
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-3057
Practice Address - Country:US
Practice Address - Phone:830-774-4447
Practice Address - Fax:830-774-4265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12962101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty