Southwest Trauma Informed Integrated Care LLC
Nurse Practitioner, Psych/Mental Health in Stratford, Connecticut
1043942899- Practice location
- 125 Shanley St, Stratford, CT 06615-6944
- Phone
- 475-298-3887
- Fax
- —
- Last updated
- June 29, 2022
Southwest Trauma Informed Integrated Care LLC is a healthcare organization based in Stratford, CT. Southwest Trauma Informed Integrated Care LLC practices in Stratford, CT. The NPI Number for Southwest Trauma Informed Integrated Care LLC is 1043942899. The current practice location address for Southwest Trauma Informed Integrated Care LLC is 125 Shanley St, Stratford, CT 06615-6944 and can be reached out via phone at 475-298-3887.
Provider Profile Details
- NPI Number
- 1043942899
- Provider Name
- Southwest Trauma Informed Integrated Care LLC
- Provider Entity Type
- Organization
- Address
- 125 Shanley St, Stratford, CT 06615-6944
- Phone Number
- 475-298-3887
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Felisha Mack, DNP, APRN · Pmhnp-Bc, Fnp-Bc · 475-298-3887
- Provider Enumeration Date
- June 29, 2022
- Last Update Date
- June 29, 2022
- Certification Date
- June 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 125 Shanley St
Stratford, CT 06615-6944 - City
- Stratford
- State
- Connecticut
- Zip
- 06615-6944
- Phone Number
- 475-298-3887
Provider Business Mailing Address Details
- Address
- 125 Shanley St
Stratford, CT 06615-6944 - City
- Stratford
- State
- CT
- Zip
- 06615-6944
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Southwest Trauma Informed Integrated Care LLC?
The NPI number of Southwest Trauma Informed Integrated Care LLC is 1043942899. It was assigned on June 29, 2022 and is currently active in the NPPES registry.
What is the specialty of Southwest Trauma Informed Integrated Care LLC?
Southwest Trauma Informed Integrated Care LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Southwest Trauma Informed Integrated Care LLC practice?
The practice location is 125 Shanley St, Stratford, CT 06615-6944. The office can be reached at 475-298-3887 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043942899 directly on the NPPES registry website.