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Organization
SANCTUARY AT WINDSONG, PLLC
Active
Organization
SANCTUARY AT WINDSONG, PLLC
Active
Other names
Windsong Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT LIEBERMAN LMFT (CEO)
(772) 465-4044
Entity
Organization
Contact information
Practice address
2806 S US HIGHWAY 1, C7, FORT PIERCE, FL 34982-8109
(772) 465-4044
Mailing address
1238 SW AVENS STREET, PORT SAINT LUCIE, FL 34983
(863) 877-6757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MT2766
FL
101YM0800X
Mental Health Counselor
MT2766
FL
106H00000X
Marriage & Family Therapist
MT2766
FL
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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