Healthcare Provider Details
I. General information
NPI: 1063055945
Provider Name (Legal Business Name): RAYCHEL WIND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/23/2019
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
220 SW 2ND ST
POMPANO BEACH FL
33060-4611
US
IV. Provider business mailing address
13020 SAN JOSE ST
CORAL GABLES FL
33156-6436
US
V. Phone/Fax
- Phone: 305-774-3300
- Fax:
- Phone: 305-794-5077
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: