Provider Demographics
NPI:1194320507
Name:DRIFT COUNSELING AND WELLNESS, LLC
Entity type:Organization
Organization Name:DRIFT COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSIO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-837-0252
Mailing Address - Street 1:9 CLOVERLY CIR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06855-2118
Mailing Address - Country:US
Mailing Address - Phone:203-837-0252
Mailing Address - Fax:
Practice Address - Street 1:9 CLOVERLY CIR
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06855-2118
Practice Address - Country:US
Practice Address - Phone:203-837-0252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty