Provider Demographics
NPI:1881846707
Name:WINDS, LAURA (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:WINDS
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3560 CONSTITUTION AVE
Mailing Address - Street 2:
Mailing Address - City:LUMMI ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98262-8700
Mailing Address - Country:US
Mailing Address - Phone:360-647-1003
Mailing Address - Fax:360-758-7917
Practice Address - Street 1:120 PROSPECT ST STE 10
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4428
Practice Address - Country:US
Practice Address - Phone:360-647-1003
Practice Address - Fax:360-758-7917
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 00001401106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist