Healthcare Provider Details

I. General information

NPI: 1891610747
Provider Name (Legal Business Name): WINDHORSE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 POND LN STE 4D
CONCORD MA
01742-2842
US

IV. Provider business mailing address

9 POND LN STE 4D
CONCORD MA
01742-2842
US

V. Phone/Fax

Practice location:
  • Phone: 978-759-5185
  • Fax:
Mailing address:
  • Phone: 978-759-5185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ALANNAH DIBONA
Title or Position: EXECUTIVE DIRECTOR
Credential: LMHC
Phone: 978-759-5185