| Full Of Life Counseling And Addiction Services, Pllc | |
|
515 Centerpoint Dr Ste 2200 Middletown CT 06457-7570 | |
| (336) 829-4277 | |
| Not Available |
| Full Name | Full Of Life Counseling And Addiction Services, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 515 Centerpoint Dr Ste 2200, Middletown, Connecticut |
| Authorized Official Name and Position | Gevonna Graves Worney (OWNER) |
| Authorized Official Contact | 3368294277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Of Life Counseling And Addiction Services, Pllc 515 Centerpoint Dr Ste 2200 Middletown CT 06457-7570 Ph: (860) 743-0700 | Full Of Life Counseling And Addiction Services, Pllc 515 Centerpoint Dr Ste 2200 Middletown CT 06457-7570 Ph: (336) 829-4277 |
| NPI Number | 1376366153 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 09/21/2025 |
| Certification Date | 09/21/2025 |
| Medicare PECOS PAC ID | 5991226870 |
|---|---|
| Medicare Enrollment ID | O20250307001435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376366153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Gevonna Ardell Graves-worney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306121959 PECOS PAC ID: 6800317785 Enrollment ID: I20250307001651 |
One Piece Of The Puzzle, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Smith St, Suite L, Middletown, CT 06457 Phone: 860-990-0776 Fax: 860-904-2839 | |
Pursuecare Connecticut Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 Centerpoint Dr Ste 105, Middletown, CT 06457 Phone: 860-317-5251 Fax: 860-469-2766 | |
Mindrise Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Forest St, Middletown, CT 06457 Phone: 203-999-2777 | |
The Connection, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Roscommon Dr, Middletown, CT 06457 Phone: 860-343-5500 Fax: 860-343-5509 | |
Lifted, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Randolph Rd, Middletown, CT 06457 Phone: 860-334-6135 | |
Blue Hills Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Middletown, CT 06457 Phone: 860-852-3860 Fax: 860-852-3860 | |
Whole Heart Art Therapy & Creative Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 955 S Main St # B201, Middletown, CT 06457 Phone: 203-533-2351 |