Healthcare Provider Details

I. General information

NPI: 1043596661
Provider Name (Legal Business Name): WINDSOR NAETHING M.ED, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2011
Last Update Date: 09/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7920 MOUNTAIN RD NE
ALBUQUERQUE NM
87110-7805
US

IV. Provider business mailing address

7920 MOUNTAIN RD NE
ALBUQUERQUE NM
87110-7805
US

V. Phone/Fax

Practice location:
  • Phone: 505-884-9411
  • Fax:
Mailing address:
  • Phone: 505-884-9411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: