Active NPI
Mi'Bella Wellness Clinic, PLLC
- Primary Care Clinic/Center
- Ellington, CT
National Provider Identifier
1104773498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MI'BELLA WELLNESS CLINIC, PLLC
- Practice address
- 182 Tripp Rd
Ellington, CT 06029-3642 - Phone
- (413) 351-1525
- Fax
- (860) 893-0232
- NPI assigned
- Mar 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carly Melissa Muniz, MUNIZ
- Title
- Physician Assistant/Owner
- Phone
- (413) 351-1525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
182 Tripp Rd
Ellington, CT 06029-3642
Mailing address
182 Tripp Rd
Ellington, CT 06029-3642
Phone (413) 351-1525
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- New Britain, CT
- NPI 1225484314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773446400000",
"number": "1104773498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 TRIPP RD",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060293642",
"telephone_number": "413-351-1525",
"fax_number": "860-893-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 TRIPP RD",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060293642",
"telephone_number": "413-351-1525",
"fax_number": "860-893-0232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MI'BELLA WELLNESS CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-14",
"last_updated": "2026-03-14",
"certification_date": "2026-03-14",
"status": "A",
"authorized_official_last_name": "MUNIZ",
"authorized_official_first_name": "CARLY",
"authorized_official_middle_name": "MELISSA",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT/OWNER",
"authorized_official_telephone_number": "413-351-1525",
"authorized_official_credential": "MUNIZ"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.