Healthcare Provider Details

I. General information

NPI: 1457286577
Provider Name (Legal Business Name): WINDOWLIGHTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 MANASSAS DR STE A
ROANOKE VA
24018-4031
US

IV. Provider business mailing address

PO BOX 254
DALEVILLE VA
24083-0254
US

V. Phone/Fax

Practice location:
  • Phone: 540-774-4686
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA FERNATT
Title or Position: SOLE MEMBER
Credential: LPC
Phone: 540-774-4686