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General NPI Number Information
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NPI Number | 1689521049
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Entity Type | Organization
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Legal Business Name | DRIFTWOOD BEHAVIORAL HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 03/14/2026
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Last Update Date | 03/14/2026
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Provider Practice Location Address
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Address Line | 8 W MAIN ST STE 1-3
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City | NIANTIC
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State | CT
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Zip | 06357-2330
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Country | US
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Telephone | 860-385-4949
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Fax | 860-410-4530
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Provider Business Mailing Address
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Address Line | 8 W MAIN ST STE 1-3
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City | NIANTIC
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State | CT
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Zip | 06357-2330
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Country | US
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Telephone | 860-385-4949
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Fax | 860-410-4530
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | LAURA JEAN BREWSTER
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Credential | APRN, PMHNP-BC
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Telephone | 860-385-4949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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