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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