Provider Demographics
NPI: | 1700251352 |
---|---|
Name: | WINDSONG HOLISTIC HEALTH, INC |
Entity Type: | Organization |
Organization Name: | WINDSONG HOLISTIC HEALTH, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | DARLENE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ZWOLINSKI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | L AC |
Authorized Official - Phone: | 720-507-4956 |
Mailing Address - Street 1: | 17970 W 95TH PL |
Mailing Address - Street 2: | |
Mailing Address - City: | ARVADA |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80007-8017 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 720-291-4956 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2594 S LEWIS WAY UNIT E |
Practice Address - Street 2: | |
Practice Address - City: | LAKEWOOD |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80227-2839 |
Practice Address - Country: | US |
Practice Address - Phone: | 720-291-4956 |
Practice Address - Fax: | 720-222-5501 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-12-08 |
Last Update Date: | 2021-09-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CO | ACU.0002116 | 171100000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 171100000X | Other Service Providers | Acupuncturist | Group - Single Specialty |