Provider Demographics
NPI:1891817664
Name:RUSTLING WINDS INC
Entity Type:Organization
Organization Name:RUSTLING WINDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:REANA
Authorized Official - Last Name:BUMPHUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-426-1076
Mailing Address - Street 1:211 WEST MAIN
Mailing Address - Street 2:
Mailing Address - City:WILBURTON
Mailing Address - State:OK
Mailing Address - Zip Code:74578
Mailing Address - Country:US
Mailing Address - Phone:918-465-1100
Mailing Address - Fax:918-465-5658
Practice Address - Street 1:211 WEST MAIN
Practice Address - Street 2:
Practice Address - City:WILBURTON
Practice Address - State:OK
Practice Address - Zip Code:74578
Practice Address - Country:US
Practice Address - Phone:918-465-1100
Practice Address - Fax:918-465-5658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty