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NPI Code Detail

MEDICARE: WIND AND SEA, LLC

MEDICARE: WIND AND SEA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1912840224
Entity Type Code : Organization
Provider Name (Legal Business Name) : WIND AND SEA, LLC
Provider Business Mailing Address
First Line : 1515 ALPINE PASS
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55416-3558
Country : US
Telephone Number : 310-994-0177
Fax Number :
Provider Business Practice Location Address
First Line : 1515 ALPINE PASS
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55416-3558
Country : US
Telephone Number : 310-994-0177
Fax Number :
Authorized Official
Title or Position : PSYCHOTHERAPIST
Name : MS. ALLISON BETH GREENWALD
Credential : LICSW
Telephone Number : 310-994-0177
Provider Enumeration Date : 04/11/2026
Last Update Date : 04/11/2026

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Directions to “WIND AND SEA, LLC ” Practice Location

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