Organization · Type 2 NPI
Thallo Mental Health & Wellness LLC
Psychiatric/Mental Health Nurse Practitioner · West Suffield, CT
NPI number
1033030846
Active
Practice location
1036 Ratley Rd
West Suffield, CT 06093-2411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1033030846
Thallo Mental Health & Wellness LLC's National Provider Identifier is 1033030846, issued on Jul 25, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Suffield, CT. The record was last updated on Jul 28, 2026.