Detox Virtually
Nurse Practitioner, Psych/Mental Health in Niantic, Connecticut
1912833948- Practice location
- 15 Pontiac Dr, Niantic, CT 06357-2835
- Phone
- 860-389-7367
- Fax
- —
- Last updated
- June 18, 2026
Detox Virtually is a healthcare organization based in Niantic, CT. Detox Virtually practices in Niantic, CT. The NPI Number for Detox Virtually is 1912833948. The current practice location address for Detox Virtually is 15 Pontiac Dr, Niantic, CT 06357-2835 and can be reached out via phone at 860-389-7367.
Provider Profile Details
- NPI Number
- 1912833948
- Provider Name
- Detox Virtually
- Provider Entity Type
- Organization
- Address
- 15 Pontiac Dr, Niantic, CT 06357-2835
- Phone Number
- 860-389-7367
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Shelley Halligan, PMHNP · Ceo · 860-389-7367
- Provider Enumeration Date
- June 18, 2026
- Last Update Date
- June 18, 2026
- Certification Date
- June 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Pontiac Dr
Niantic, CT 06357-2835 - City
- Niantic
- State
- Connecticut
- Zip
- 06357-2835
- Phone Number
- 860-389-7367
Provider Business Mailing Address Details
- Address
- 15 Pontiac Dr
Niantic, CT 06357-2835 - City
- Niantic
- State
- CT
- Zip
- 06357-2835
- Phone Number
- 860-389-7367
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 Detox Virtually?
The NPI number of Detox Virtually is 1912833948. It was assigned on June 18, 2026 and is currently active in the NPPES registry.
What is the specialty of Detox Virtually?
Detox Virtually is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Detox Virtually practice?
The practice location is 15 Pontiac Dr, Niantic, CT 06357-2835. The office can be reached at 860-389-7367 (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 1912833948 directly on the NPPES registry website.