Provider Demographics
NPI:1417377599
Name:WINDOWS OF LIFE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:WINDOWS OF LIFE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:CCSOTS, CSAYC
Authorized Official - Phone:219-677-6597
Mailing Address - Street 1:538 SCENIC VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-7967
Mailing Address - Country:US
Mailing Address - Phone:219-677-6597
Mailing Address - Fax:219-510-5176
Practice Address - Street 1:3141 WILLOWCREEK RD
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:IN
Practice Address - Zip Code:46368-4468
Practice Address - Country:US
Practice Address - Phone:219-677-6597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management