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

Southwest Trauma Informed Integrated Care LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1043942899

Southwest Trauma Informed Integrated Care LLC is a Psychiatric/Mental Health Nurse Practitioner in Stratford, Connecticut. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 Shanley St
Stratford, CT 06615-6944
Phone: (475) 298-3887
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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 number1043942899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Felisha Mack — Pmhnp-Bc, Fnp-Bc · (475) 298-3887
NPI enumeratedJune 29, 2022
Last updated in NPPESJune 29, 2022
Certification dateJune 29, 2022
Mailing address125 Shanley St, Stratford, CT 06615-6944

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