MI'BELLA WELLNESS CLINIC PLLC NPI 1104773498

NPI Information

  • NPI: 1104773498
  • Provider Name: MI'BELLA WELLNESS CLINIC, PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 182 TRIPP RD
    ELLINGTON, CT
    ZIP 06029
  • Phone: (413) 351-1525

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NPI Details

MI'BELLA WELLNESS CLINIC, PLLC is a primary care clinic center in Ellington, CT. MI'BELLA WELLNESS CLINIC, PLLC NPI is 1104773498. The provider is registered as an organization entity type.

The provider's business location address is:

182 TRIPP RD
ELLINGTON, CT
ZIP 06029-642
Phone: (413) 351-1525
Fax: (860) 893-0232

The provider's authorized official is Carly Melissa Muniz .
The authorized official title is Physician Assistant/owner and has the following contact phone number (413) 351-1525.

The enumeration date for this NPI number is 3/14/2026 and was last updated on 3/14/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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