# WIND RIVER THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104539204
- **Authorized official:** JENNIFER PARISI LICSW (OWNER)
- **Authorized official phone:** (802) 391-9073

## Contact information

- **Practice address:** 54 W TWIN OAKS TER STE 12, SOUTH BURLINGTON, VT 05403-7141
- **Practice address phone:** (802) 391-9073
- **Mailing address:** PO BOX 9212, SOUTH BURLINGTON, VT 05407-9212
- **Mailing address phone:** (802) 391-9073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2023
- **Last updated:** 03/16/2023
