Provider Demographics
NPI:1841829520
Name:4 WINDS / 5 ELEMENTS COUNSELING AND HEALING ARTS PLLC
Entity type:Organization
Organization Name:4 WINDS / 5 ELEMENTS COUNSELING AND HEALING ARTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:M
Authorized Official - Last Name:REICHART
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-520-2762
Mailing Address - Street 1:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:KITTREDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80457-0356
Mailing Address - Country:US
Mailing Address - Phone:720-520-2762
Mailing Address - Fax:
Practice Address - Street 1:2201 KIPLING ST STE 204
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-1545
Practice Address - Country:US
Practice Address - Phone:720-520-2762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-05
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Single Specialty