Active NPIOrganization

Mi'Bella Wellness Clinic, PLLC

Clinic/Center, Primary Care in Ellington, Connecticut

NPI Number1104773498
Practice location
182 Tripp RD, Ellington, CT 06029-3642
Fax
860-893-0232
Last updated
March 14, 2026

Mi'Bella Wellness Clinic, PLLC is a healthcare organization based in Ellington, CT. Mi'Bella Wellness Clinic, PLLC practices in Ellington, CT. The NPI Number for Mi'Bella Wellness Clinic, PLLC is 1104773498. The current practice location address for Mi'Bella Wellness Clinic, PLLC is 182 Tripp RD, Ellington, CT 06029-3642 and can be reached out via phone at 413-351-1525 and via fax at 860-893-0232.

Provider Profile Details

NPI Number
1104773498
Provider Name
Mi'Bella Wellness Clinic, PLLC
Provider Entity Type
Organization
Address
182 Tripp RD, Ellington, CT 06029-3642
Phone Number
413-351-1525
Fax Number
860-893-0232
Primary Taxonomy
Clinic/Center, Primary Care · 261QP2300X
Organization Subpart
No
Authorized Official
Carly Melissa Muniz, MUNIZ · Physician Assistant/Owner · 413-351-1525
Provider Enumeration Date
March 14, 2026
Last Update Date
March 14, 2026
Certification Date
March 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
182 Tripp RD
Ellington, CT 06029-3642
Zip
06029-3642
Phone Number
413-351-1525
Fax Number
860-893-0232
Ellington, CT 06029Get directions →

Provider Business Mailing Address Details

Address
182 Tripp RD
Ellington, CT 06029-3642
City
Ellington
State
CT
Zip
06029-3642
Phone Number
413-351-1525
Fax Number
860-893-0232

License Information

Taxonomy
Clinic/Center, Primary Care · 261QP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mi'Bella Wellness Clinic, PLLC?

The NPI number of Mi'Bella Wellness Clinic, PLLC is 1104773498. It was assigned on March 14, 2026 and is currently active in the NPPES registry.

What is the specialty of Mi'Bella Wellness Clinic, PLLC?

Mi'Bella Wellness Clinic, PLLC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X).

Where does Mi'Bella Wellness Clinic, PLLC practice?

The practice location is 182 Tripp RD, Ellington, CT 06029-3642. The office can be reached at 413-351-1525 (phone) or 860-893-0232 (fax).

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 1104773498 directly on the NPPES registry website.

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