Provider Demographics
NPI:1932093457
Name:WINDING ROADS PSYCHIATRY LLC
Entity type:Organization
Organization Name:WINDING ROADS PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C, PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ONTIVEROS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:806-685-0214
Mailing Address - Street 1:3223 S LOOP 289 STE 600
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1372
Mailing Address - Country:US
Mailing Address - Phone:806-230-5375
Mailing Address - Fax:
Practice Address - Street 1:1211 YONKERS ST
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-4861
Practice Address - Country:US
Practice Address - Phone:806-685-0214
Practice Address - Fax:806-905-6618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty