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Organization
THALLO MENTAL HEALTH & WELLNESS LLC
Active
Organization
THALLO MENTAL HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE FIJAL (NURSE PRACTITIONER)
(860) 508-5306
Entity
Organization
Contact information
Practice address
1036 RATLEY RD, WEST SUFFIELD, CT 06093-2411
(860) 508-5306
Mailing address
1036 RATLEY RD, WEST SUFFIELD, CT 06093-2411
(860) 508-5306
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/25/2026
Last updated
07/28/2026
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