Provider Demographics
NPI:1841757762
Name:WINDHORSE COUNSELING
Entity Type:Organization
Organization Name:WINDHORSE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-459-9994
Mailing Address - Street 1:1166 E WARNER ROAD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296
Mailing Address - Country:US
Mailing Address - Phone:480-459-9994
Mailing Address - Fax:480-907-1471
Practice Address - Street 1:1166 E WARNER ROAD
Practice Address - Street 2:SUITE 203
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296
Practice Address - Country:US
Practice Address - Phone:480-459-9994
Practice Address - Fax:480-907-1471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty