# THERAPEUTIC ALLIANCE OF CONNECTICUT, LLC

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

## Provider details

- **NPI number:** 1467982504
- **Authorized official:** MR. JULIO RENE DURAN JR. PMHNP (OWNER)
- **Authorized official phone:** (860) 966-1004

## Contact information

- **Practice address:** 174 SOUTH RD STE 125, ENFIELD, CT 06082-4414
- **Practice address phone:** (860) 966-1004
- **Practice address fax:** (860) 788-4090
- **Mailing address:** 174 SOUTH RD STE 125, ENFIELD, CT 06082-4414
- **Mailing address phone:** (860) 966-1004
- **Mailing address fax:** (860) 788-4090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 7027 | CT | Yes |

## Other

- **Enumeration date:** 06/12/2017
- **Last updated:** 07/21/2022