Provider Demographics
NPI:1629851100
Name:ALBANY WINDS OF CHANGE
Entity Type:Organization
Organization Name:ALBANY WINDS OF CHANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:838-433-1044
Mailing Address - Street 1:100 GREAT OAKS BLVD STE 117A
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-7925
Mailing Address - Country:US
Mailing Address - Phone:838-433-1044
Mailing Address - Fax:518-213-7627
Practice Address - Street 1:100 GREAT OAKS BLVD STE 117A
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-7925
Practice Address - Country:US
Practice Address - Phone:838-433-1044
Practice Address - Fax:518-213-7627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty