Organization
WINDS OF CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HOPE HUDDLESTON (MEMBER)
(606) 404-5105
Entity
Organization
Contact information
Practice address
1220 MASTER ST STE 6, CORBIN, KY 40701-2517
(606) 404-5104
(606) 404-5105
Mailing address
1220 MASTER ST STE 6, CORBIN, KY 40701-2517
(606) 404-5104
(606) 404-5105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/27/2022
Last updated
04/27/2023
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