Healthcare Provider Details

I. General information

NPI: 1508556416
Provider Name (Legal Business Name): PROJECT WELL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 SUMMER ST STE 4
STAMFORD CT
06901-2304
US

IV. Provider business mailing address

20 SUMMER ST STE 4
STAMFORD CT
06901-2304
US

V. Phone/Fax

Practice location:
  • Phone: 855-659-3663
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: LAUREN DRISCOLL
Title or Position: FOUNDER & CEO
Credential:
Phone: 203-253-0720