Provider Demographics
NPI:1891302824
Name:WINDS OF CHANGE MARRIAGE AND FAMILY THERAPY LLC
Entity Type:Organization
Organization Name:WINDS OF CHANGE MARRIAGE AND FAMILY THERAPY LLC
Other - Org Name:AMANDA CECIL, LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:SYBIL
Authorized Official - Last Name:CECIL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:270-903-6099
Mailing Address - Street 1:600 W EVERLY BROTHERS BLVD
Mailing Address - Street 2:
Mailing Address - City:CENTRAL CITY
Mailing Address - State:KY
Mailing Address - Zip Code:42330-1884
Mailing Address - Country:US
Mailing Address - Phone:270-903-6099
Mailing Address - Fax:
Practice Address - Street 1:600 W EVERLY BROTHERS BLVD
Practice Address - Street 2:
Practice Address - City:CENTRAL CITY
Practice Address - State:KY
Practice Address - Zip Code:42330-1884
Practice Address - Country:US
Practice Address - Phone:270-903-6099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty