Provider Demographics
NPI:1982162244
Name:WINDMILL COUNSELING
Entity Type:Organization
Organization Name:WINDMILL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:JANETTE
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-668-0147
Mailing Address - Street 1:1319 W MOUNTAIN HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:FORT COBB
Mailing Address - State:OK
Mailing Address - Zip Code:73038-5816
Mailing Address - Country:US
Mailing Address - Phone:405-668-0147
Mailing Address - Fax:
Practice Address - Street 1:608 N. HAZLETT
Practice Address - Street 2:
Practice Address - City:FORT COBB
Practice Address - State:OK
Practice Address - Zip Code:73038
Practice Address - Country:US
Practice Address - Phone:405-668-0147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty