Provider Demographics
NPI:1982782785
Name:WEST WINDS COUNSELING INC
Entity Type:Organization
Organization Name:WEST WINDS COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKENING
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:928-708-0108
Mailing Address - Street 1:1678 OAKLAWN DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-1106
Mailing Address - Country:US
Mailing Address - Phone:928-708-0108
Mailing Address - Fax:928-708-0120
Practice Address - Street 1:1678 OAKLAWN DR
Practice Address - Street 2:SUITE A
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305
Practice Address - Country:US
Practice Address - Phone:928-708-0108
Practice Address - Fax:928-708-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC1256101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZA00227675OtherAHCCCS PROVIDER ID