Individual provider · Type 1 NPI

Srey Im-Ly, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Plantsville, CT

NPI number 1679488266 Active

Practice location

775 Marion Ave
Plantsville, CT 06479-1441

Call (203) 258-6974 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X18070 (CT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1679488266

Srey Im-Ly, PMHNP-BC's National Provider Identifier is 1679488266, issued on Aug 17, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Plantsville, CT. The record was last updated on Aug 17, 2026.