Organization
VATAS INTEGRATIVE PSYCHIATRY & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIDINMA IFECHUKWU GUBOR DNP, APRN, PMHNP-BC (OWNER)
(203) 843-2264
Entity
Organization
Contact information
Practice address
55 LEVERCH DR, EAST HARTFORD, CT 06108
(203) 843-2264
Mailing address
55 LEVERICH DR, EAST HARTFORD, CT 06108-1432
(203) 843-2264
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497364459
—
RI
Enumeration date
09/15/2025
Last updated
10/03/2025
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