=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700251352
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WINDSONG HOLISTIC HEALTH, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/08/2015
-----------------------------------------------------
Last Update Date | 12/01/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2594 S LEWIS WAY UNIT E
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80227-2839
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-291-4956
-----------------------------------------------------
Fax | 720-222-5501
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2594 S LEWIS WAY UNIT E
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80227-2839
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-291-4956
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. DARLENE ZWOLINSKI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 720-291-4956
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | ACU.0002116
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------