Organization
FAMILY SERVICE OF WINONA
Active
Other names
Family Service of Winona - Margaret Simpson Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE V. PETZ MS/LP (ADMIN MANAGER/THERAPIST)
(507) 452-7292
Entity
Organization
Contact information
Practice address
66 E. 3RD STREET #201, WINONA, MN 55987
(507) 462-7292
(507) 457-9887
Mailing address
66 E. 3RD STREET #201, WINONA, MN 55987
(507) 462-7292
(507) 457-9887
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0177
MN
103T00000X
Psychologist
LP1219
MN
103T00000X
Psychologist
LP3132
MN
103T00000X
Psychologist
LP4392
MN
103T00000X
Psychologist
LP4439
MN
104100000X
Social Worker
8677
MN
104100000X
Social Worker
8882
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01015397
PREFERRED ONE
—
01
—
14809
HEALTHPARTNERS
—
01
—
38076T0
BCBS
—
01
—
57490FA
BCBS
—
01
—
E341
UCARE
MN
Enumeration date
07/19/2005
Last updated
09/11/2025
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