MEDICARE: WEST WIND PSYCHOTHERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1417806183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST WIND PSYCHOTHERAPY PLLC

Provider Business Mailing Address
First Line	:	8721 E PLACITA PLAYA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85715-5647
Country	:	US
Telephone Number	:	520-243-9828
Fax Number	:

Provider Business Practice Location Address
First Line	:	8721 E PLACITA PLAYA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85715-5647
Country	:	US
Telephone Number	:	520-243-9828
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ARIEL POLSTON
Credential	:	LCSW
Telephone Number	:	520-243-9828

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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