NEW ROAD WELLNESS LLC NPI 1992360143

NPI Information

  • NPI: 1992360143
  • Provider Name: NEW ROAD WELLNESS, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 7 MICHAEL DR
    CLINTON, CT
    ZIP 06413
  • Phone: (203) 318-6484

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NPI Details

NEW ROAD WELLNESS, LLC is a psychiatric/mental health nurse practitioner in Clinton, CT. NEW ROAD WELLNESS, LLC NPI is 1992360143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7 MICHAEL DR
CLINTON, CT
ZIP 06413-068
Phone: (203) 318-6484
Fax: (203) 318-6484

The provider's authorized official is Theresa Laggis .
The authorized official title is Owner and has the following contact phone number (860) 227-5725.

The enumeration date for this NPI number is 5/3/2019 and was last updated on 6/15/2021.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11376081570OTHERCONNECTICUTPMHNP-BC
26934OTHERCONNECTICUTNURSE PRACTITIONER

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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