Provider Demographics
NPI:1669970463
Name:WINDS OF CHANGE COUNSELING
Entity type:Organization
Organization Name:WINDS OF CHANGE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL CLINICAL COUN
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-745-2050
Mailing Address - Street 1:575 INDUSTRIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:OH
Mailing Address - Zip Code:43056-1529
Mailing Address - Country:US
Mailing Address - Phone:740-507-4014
Mailing Address - Fax:740-522-4673
Practice Address - Street 1:575 INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:OH
Practice Address - Zip Code:43056-1529
Practice Address - Country:US
Practice Address - Phone:740-507-4014
Practice Address - Fax:740-522-4673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0602104101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty