# SANCTUARY AT WINDSONG, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsong Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215393400
- **Authorized official:** BRETT LIEBERMAN LMFT (CEO)
- **Authorized official phone:** (772) 465-4044

## Contact information

- **Practice address:** 2806 S US HIGHWAY 1, C7, FORT PIERCE, FL 34982-8109
- **Practice address phone:** (772) 465-4044
- **Mailing address:** 1238 SW AVENS STREET, PORT SAINT LUCIE, FL 34983
- **Mailing address phone:** (863) 877-6757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MT2766 | FL | Yes |
| 101YM0800X | Mental Health Counselor | MT2766 | FL | — |
| 106H00000X | Marriage & Family Therapist | MT2766 | FL | — |

## Other

- **Enumeration date:** 01/05/2016
- **Last updated:** 01/05/2016