# WINDSONG WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184245144
- **Authorized official:** MR. BRETT LIEBERMAN LMFT (CEO)
- **Authorized official phone:** (772) 465-4044

## Contact information

- **Practice address:** 1562 SE VILLAGE GREEN DR STE 5AND7, PORT SAINT LUCIE, FL 34952-5100
- **Practice address phone:** (772) 465-4044
- **Practice address fax:** (772) 468-6894
- **Mailing address:** 1238 SW AVENS ST, PORT SAINT LUCIE, FL 34983-2506
- **Mailing address phone:** (772) 465-4044
- **Mailing address fax:** (772) 468-6894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/30/2020
- **Last updated:** 05/11/2020
