Provider Demographics
NPI:1356129233
Name:WINDHOLZ, MINDY BETH (MS LPC-S NCC)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:BETH
Last Name:WINDHOLZ
Suffix:
Gender:F
Credentials:MS LPC-S NCC
Other - Prefix:
Other - First Name:MINDY
Other - Middle Name:BETH
Other - Last Name:FLORENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2417 RICHLAND DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-3663
Mailing Address - Country:US
Mailing Address - Phone:314-761-7246
Mailing Address - Fax:
Practice Address - Street 1:2417 RICHLAND DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-3663
Practice Address - Country:US
Practice Address - Phone:314-761-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional