Organization
WINDFALL KIDS & CO.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORIAN PORTIS (CEO)
(202) 699-2039
Entity
Organization
Contact information
Practice address
4005 SAWMILL TRACE DR, CHARLOTTE, NC 28213-4860
(980) 319-8471
Mailing address
4005 SAWMILL TRACE DR, CHARLOTTE, NC 28213-4860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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