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SOUTHWEST TRAUMA INFORMED INTEGRATED CARE LLC
NPI 1043942899
Nurse Practitioner - Psychiatric/Mental Health in Stratford, CT

Active since June 29, 2022
125 SHANLEY ST, STRATFORD, CT 06615(475) 298-3887 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southwest Trauma Informed Integrated Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST TRAUMA INFORMED INTEGRATED CARE LLC (NPI 1043942899) is a healthcare organization registered as a psychiatric/mental health in Stratford, Connecticut and active in the NPI registry since June 2022. The organization lists Felisha Mack, Pmhnp-bc, Fnp-bc, as its authorized official.

NPPES Registry Identity

NPI1043942899
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUTHWEST TRAUMA INFORMED INTEGRATED CARE LLC
Location Address125 SHANLEY STStratford, CT 06615-6944
Mailing Address125 Shanley StStratford, CT 06615-6944
Phone(475) 298-3887
Organization SubpartNo
Authorized OfficialFelisha MackPmhnp-bc, Fnp-bc · (475) 298-3887
Enumeration DateJune 29, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1043942899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
125 SHANLEY ST, Stratford, CT 06615
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Trauma Informed Integrated Care LLC's NPI number?

The NPI number for Southwest Trauma Informed Integrated Care LLC is 1043942899. It was assigned to this organization in the NPPES registry on June 29, 2022.

Where is Southwest Trauma Informed Integrated Care LLC located?

Southwest Trauma Informed Integrated Care LLC is located at 125 Shanley St, Stratford, CT 06615. The listed phone number is (475) 298-3887.

What is Southwest Trauma Informed Integrated Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Southwest Trauma Informed Integrated Care LLC was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.