Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Detox Virtually

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1912833948

Detox Virtually is a Psychiatric/Mental Health Nurse Practitioner in Niantic, Connecticut. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

15 Pontiac Dr
Niantic, CT 06357-2835
Phone: (860) 389-7367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1912833948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Halligan — Ceo · (860) 389-7367
NPI enumeratedJune 18, 2026
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address15 Pontiac Dr, Niantic, CT 06357-2835

Other providers in Niantic