Healthcare Provider Details

I. General information

NPI: 1275370868
Provider Name (Legal Business Name): WINDING BROOK COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1461 HOOKSETT RD STE A9
HOOKSETT NH
03106-1813
US

IV. Provider business mailing address

1461 HOOKSETT RD STE A9
HOOKSETT NH
03106-1813
US

V. Phone/Fax

Practice location:
  • Phone: 207-200-6336
  • Fax:
Mailing address:
  • Phone: 207-200-6336
  • 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 Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: HOLLY WALTON
Title or Position: MANAGER
Credential: MA, NCC, LPC, LCMHC
Phone: 207-200-6336