Provider Demographics
NPI:1093994386
Name:DRIELING, LAURA (BSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:DRIELING
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TN
Mailing Address - Zip Code:38340-1709
Mailing Address - Country:US
Mailing Address - Phone:731-989-3401
Mailing Address - Fax:731-989-3838
Practice Address - Street 1:925 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TN
Practice Address - Zip Code:38340-1709
Practice Address - Country:US
Practice Address - Phone:731-989-3401
Practice Address - Fax:731-989-3838
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor