Provider Demographics
NPI:1932784980
Name:W I N G S PROFESSIONAL CONSULTING
Entity Type:Organization
Organization Name:W I N G S PROFESSIONAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SPERLISHA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:AYENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-363-8394
Mailing Address - Street 1:5360 SONORA RD
Mailing Address - Street 2:
Mailing Address - City:HODGENVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42748-9663
Mailing Address - Country:US
Mailing Address - Phone:270-363-8394
Mailing Address - Fax:
Practice Address - Street 1:5360 SONORA RD
Practice Address - Street 2:
Practice Address - City:HODGENVILLE
Practice Address - State:KY
Practice Address - Zip Code:42748-9663
Practice Address - Country:US
Practice Address - Phone:270-363-8394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare