Organization Active NPI

Mi'Bella Wellness Clinic, PLLC

  • Primary Care Clinic/Center
  • Ellington, CT
National Provider Identifier
1104773498
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Mar 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carly Melissa Muniz, MUNIZNPI 1225484314
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.