Organization
DARIEN WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L EZELL (CEO)
(203) 883-0464
Entity
Organization
Contact information
Practice address
618 E SOUTH ST STE 500, ORLANDO, FL 32801-2986
(203) 883-0464
Mailing address
228 PARK AVE S STE 35651, NEW YORK, NY 10003-1502
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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