Healthcare Provider Details

I. General information

NPI: 1518896091
Provider Name (Legal Business Name): AURA INTEGRATIVE PSYCHIATRY & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 09/02/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 HARTFORD TURNPIKE SUITE 106
VERNON CT
06066
US

IV. Provider business mailing address

49 PUTNAM BLVD STE 1118
GLASTONBURY CT
06033-1079
US

V. Phone/Fax

Practice location:
  • Phone: 860-782-6148
  • Fax: 949-909-8573
Mailing address:
  • Phone: 860-782-6148
  • Fax: 949-909-8573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CAROLINA VICTORIA DELAIRE
Title or Position: PMHNP-BC
Credential: PMHNP-BC
Phone: 860-782-6148