Healthcare Provider Details

I. General information

NPI: 1538086491
Provider Name (Legal Business Name): TONUCCI THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 MOUNTAIN TOP PASS
BURLINGTON CT
06013-2019
US

IV. Provider business mailing address

19 MOUNTAIN TOP PASS
BURLINGTON CT
06013-2019
US

V. Phone/Fax

Practice location:
  • Phone: 860-421-3244
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL TONUCCI
Title or Position: OWNER, PROVIDER
Credential: LPC-A, BCBA, LBA
Phone: 860-421-3244