Provider Demographics
NPI:1053820894
Name:ALWANI, PARITA
Entity Type:Individual
Prefix:
First Name:PARITA
Middle Name:
Last Name:ALWANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MERRIMACK PLZ # 102A
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1032
Mailing Address - Country:US
Mailing Address - Phone:317-460-8566
Mailing Address - Fax:
Practice Address - Street 1:750 N ORANGE AVE APT 4205
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-7316
Practice Address - Country:US
Practice Address - Phone:317-460-8566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)