Provider Demographics
NPI:1427822485
Name:WESTWIND WELLNESS CLINIC PLLC
Entity type:Organization
Organization Name:WESTWIND WELLNESS CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:T
Authorized Official - Last Name:WESTBY
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LCSW, ASDCS
Authorized Official - Phone:480-383-9149
Mailing Address - Street 1:1801 N 3RD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-3400
Mailing Address - Country:US
Mailing Address - Phone:208-261-1158
Mailing Address - Fax:208-900-6383
Practice Address - Street 1:1801 N 3RD ST STE 200
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-3400
Practice Address - Country:US
Practice Address - Phone:208-261-1158
Practice Address - Fax:208-900-6383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty