THERAPEUTIC ALLIANCE OF CONNECTICUT, LLC
NPI 1467982504
Nurse Practitioner - Psychiatric/Mental Health in Enfield, CT

Active since June 12, 2017
174 SOUTH RD STE 125, ENFIELD, CT 06082(860) 966-1004(860) 788-4090 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Nov 20, 2018, Jun 12, 2017 (3 updates tracked since 2017).

About Therapeutic Alliance Of Connecticut, Llc NPPES

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

THERAPEUTIC ALLIANCE OF CONNECTICUT, LLC (NPI 1467982504) is a healthcare organization registered as a psychiatric/mental health in Enfield, Connecticut and active in the NPI registry since June 2017. The organization lists Julio Rene Duran, Owner, as its authorized official.

NPPES Registry Identity

NPI1467982504
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHERAPEUTIC ALLIANCE OF CONNECTICUT, LLC
Location Address174 SOUTH RD STE 125Enfield, CT 06082-4414
Mailing Address174 South Rd Ste 125Enfield, CT 06082-4414 · (860) 966-1004 · Fax (860) 788-4090
Fax(860) 788-4090
Organization SubpartNo
Authorized OfficialJulio Rene DuranOwner · (860) 966-1004
Enumeration DateJune 12, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1467982504 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
License Licensed in CT · 7027
174 SOUTH RD STE 125, Enfield, CT 06082

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 Therapeutic Alliance Of Connecticut, LLC's NPI number?

The NPI number for Therapeutic Alliance Of Connecticut, LLC is 1467982504. It was assigned to this organization in the NPPES registry on June 12, 2017.

Where is Therapeutic Alliance Of Connecticut, LLC located?

Therapeutic Alliance Of Connecticut, LLC is located at 174 South Rd Ste 125, Enfield, CT 06082. The listed phone number is (860) 966-1004.

What is Therapeutic Alliance Of Connecticut, 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 Therapeutic Alliance Of Connecticut, LLC was last updated on July 21, 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.