Provider Demographics
NPI:1700140548
Name:WINKLER, BREE (LPC, EDS)
Entity Type:Individual
Prefix:
First Name:BREE
Middle Name:
Last Name:WINKLER
Suffix:
Gender:F
Credentials:LPC, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 DUNBAR DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6550
Mailing Address - Country:US
Mailing Address - Phone:678-463-0884
Mailing Address - Fax:
Practice Address - Street 1:804 DUNBAR DR
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6550
Practice Address - Country:US
Practice Address - Phone:678-463-0884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005623101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional