Provider Demographics
NPI:1306469119
Name:WINDOWS TO MY SOUL
Entity type:Organization
Organization Name:WINDOWS TO MY SOUL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SKELTON-HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-620-2760
Mailing Address - Street 1:PO BOX 608
Mailing Address - Street 2:
Mailing Address - City:MOUNT AUKUM
Mailing Address - State:CA
Mailing Address - Zip Code:95656-0608
Mailing Address - Country:US
Mailing Address - Phone:530-620-2760
Mailing Address - Fax:
Practice Address - Street 1:2660 NOB HILL DRIVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:CA
Practice Address - Zip Code:95684
Practice Address - Country:US
Practice Address - Phone:530-620-2760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)