Organization
WINDSONG WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT LIEBERMAN LMFT (CEO)
(772) 465-4044
Entity
Organization
Contact information
Practice address
1562 SE VILLAGE GREEN DR STE 5AND7, PORT SAINT LUCIE, FL 34952-5100
(772) 465-4044
(772) 468-6894
Mailing address
1238 SW AVENS ST, PORT SAINT LUCIE, FL 34983-2506
(772) 465-4044
(772) 468-6894
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/30/2020
Last updated
05/11/2020
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