Organization
WIND OVER WATER, PLLC
Active
Other names
Wind Over Water Counseling & Consulting, PLLC, Wind Over Water Counseling & Consulting, Wind Over Water
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA ANN WILSON LCSW (THERAPIST)
(757) 734-1300
Entity
Organization
Contact information
Practice address
5225 GALE DR, VIRGINIA BEACH, VA 23464-4114
(757) 734-1300
Mailing address
1225 KEMPSVILLE ROAD, 64711, VIRGINIA BEACH, VA 23464-4114
(757) 734-1300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326113630
INDIVIDUAL NPI
—
Enumeration date
08/03/2022
Last updated
09/19/2022
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