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

Northeast Wellness Clinic PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1114851227

Northeast Wellness Clinic PLLC is a Psychiatric/Mental Health Nurse Practitioner in Fairfield, Connecticut. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1201 Kings Hwy
Fairfield, CT 06824-5319
Phone: (203) 913-9213
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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 number1114851227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Damaris Torres — Manager · (203) 913-9213
NPI enumeratedJune 12, 2026
Last updated in NPPESJune 12, 2026
Certification dateJune 11, 2026
Mailing address1201 Kings Hwy, Fairfield, CT 06824-5319

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