# VIAREPOSE MENTAL HEALTH & WELLNESS LLC

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

## Provider details

- **NPI number:** 1609672518
- **Authorized official:** MARVIA MCDONALD-DIAS (NP)
- **Authorized official phone:** (860) 374-8538

## Contact information

- **Practice address:** 843 MAIN ST STE 15, MANCHESTER, CT 06040-6020
- **Practice address phone:** (860) 999-6248
- **Mailing address:** 35 TALCOTTVILLE RD STE 10, VERNON ROCKVILLE, CT 06066-5261
- **Mailing address phone:** (860) 374-8538

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2025
- **Last updated:** 04/07/2025