Provider Demographics
NPI:1437446929
Name:WIND AND WATER, PLLC
Entity Type:Organization
Organization Name:WIND AND WATER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:R
Authorized Official - Last Name:LITTLEJHON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:704-996-5680
Mailing Address - Street 1:PO BOX 544
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-0544
Mailing Address - Country:US
Mailing Address - Phone:704-996-5680
Mailing Address - Fax:
Practice Address - Street 1:20816 N MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8468
Practice Address - Country:US
Practice Address - Phone:704-996-5680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPLLC 2011-806106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty