# THALLO MENTAL HEALTH & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033030846
- **Authorized official:** CARRIE FIJAL (NURSE PRACTITIONER)
- **Authorized official phone:** (860) 508-5306

## Contact information

- **Practice address:** 1036 RATLEY RD, WEST SUFFIELD, CT 06093-2411
- **Practice address phone:** (860) 508-5306
- **Mailing address:** 1036 RATLEY RD, WEST SUFFIELD, CT 06093-2411
- **Mailing address phone:** (860) 508-5306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2026
- **Last updated:** 07/28/2026