# INTEGRATED BEHAVIORAL HEALTH PC

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

## Provider details

- **NPI number:** 1104302033
- **Authorized official:** MICHELLE NWIGWE DNP, PMHNP-BC, APRN (APRN, OWNER)
- **Authorized official phone:** (860) 424-6042

## Contact information

- **Practice address:** 80 SHUNPIKE RD STE 101-B2, CROMWELL, CT 06416-4401
- **Practice address phone:** (860) 424-6042
- **Mailing address:** 80 SHUNPIKE RD STE 101-B2, CROMWELL, CT 06416-4401
- **Mailing address phone:** (860) 424-6042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 4747 | CT | Yes |

## Other

- **Enumeration date:** 07/13/2018
- **Last updated:** 07/04/2019