Provider Demographics
NPI:1669360350
Name:WENDE WOLFE LPC LLC
Entity type:Organization
Organization Name:WENDE WOLFE LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-372-0939
Mailing Address - Street 1:PO BOX 5016
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-0042
Mailing Address - Country:US
Mailing Address - Phone:504-372-0939
Mailing Address - Fax:541-871-7143
Practice Address - Street 1:700 TWIN CREEKS XING STE A
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-8661
Practice Address - Country:US
Practice Address - Phone:504-372-0939
Practice Address - Fax:541-871-7143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health