| Winds Of Change Llc | |
|
1220 Master St Ste 6 Corbin KY 40701-2517 | |
| (606) 404-5104 | |
| (606) 404-5105 |
| Full Name | Winds Of Change Llc |
|---|---|
| Speciality | Counselor |
| Location | 1220 Master St Ste 6, Corbin, Kentucky |
| Authorized Official Name and Position | Kimberly Hope Huddleston (MEMBER) |
| Authorized Official Contact | 6064045105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winds Of Change Llc 1220 Master St Ste 6 Corbin KY 40701-2517 Ph: (606) 404-5104 | Winds Of Change Llc 1220 Master St Ste 6 Corbin KY 40701-2517 Ph: (606) 404-5104 |
| NPI Number | 1013649250 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 5991224768 |
|---|---|
| Medicare Enrollment ID | O20250523002366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013649250 | NPI | - | NPPES |
| Provider Name | Sarah Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588801369 PECOS PAC ID: 7719422153 Enrollment ID: I20240710002954 |
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