Organization
WINDS OF CHANGE MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE H WILKINS PSYD (OWNER)
(505) 290-4551
Entity
Organization
Contact information
Practice address
200 N 1ST ST STE B, GRANTS, NM 87020-3905
(505) 290-4551
(505) 658-2398
Mailing address
PO BOX 178, GRANTS, NM 87020-0178
(505) 290-4551
(505) 658-2398
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TP0016X
Prescribing (Medical) Psychologist
0034
NM
103TP0016X
Prescribing (Medical) Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88435555
—
NM
Enumeration date
07/21/2014
Last updated
03/30/2023
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