Healthcare Provider Details

I. General information

NPI: 1295646685
Provider Name (Legal Business Name): WINDWARD WELLNESS & CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 ATHENA AVE
WEAVERVILLE NC
28787-8861
US

IV. Provider business mailing address

6 ATHENA AVE
WEAVERVILLE NC
28787-8861
US

V. Phone/Fax

Practice location:
  • Phone: 910-391-7755
  • Fax:
Mailing address:
  • Phone: 910-391-7755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MELISSA ZIMMER
Title or Position: OWNER/DIRECTOR9
Credential: MSW, LCSW, LCAS, CCS
Phone: 910-391-7755