Re-Envisioned Life Clinical Services LLC
Community/Behavioral Health in Windsor, Connecticut
1124907530- Practice location
- 213 Windsor Ave Fl 1, Windsor, CT 06095-4540
- Phone
- 860-816-2311
- Fax
- —
- Last updated
- August 29, 2025
Re-Envisioned Life Clinical Services LLC is a healthcare organization based in Windsor, CT. Re-Envisioned Life Clinical Services LLC practices in Windsor, CT. The NPI Number for Re-Envisioned Life Clinical Services LLC is 1124907530. The current practice location address for Re-Envisioned Life Clinical Services LLC is 213 Windsor Ave Fl 1, Windsor, CT 06095-4540 and can be reached out via phone at 860-816-2311.
Provider Profile Details
- NPI Number
- 1124907530
- Provider Name
- Re-Envisioned Life Clinical Services LLC
- Provider Entity Type
- Organization
- Address
- 213 Windsor Ave Fl 1, Windsor, CT 06095-4540
- Phone Number
- 860-816-2311
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Ann-Marie Atiyah Brown, MED, LPC MMFT MMHC · Founder/Clinical Director · 860-816-2311
- Provider Enumeration Date
- August 29, 2025
- Last Update Date
- August 29, 2025
- Certification Date
- August 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 213 Windsor Ave Fl 1
Windsor, CT 06095-4540 - City
- Windsor
- State
- Connecticut
- Zip
- 06095-4540
- Phone Number
- 860-816-2311
Provider Business Mailing Address Details
- Address
- 213 Windsor Ave Fl 1
Windsor, CT 06095-4540 - City
- Windsor
- State
- CT
- Zip
- 06095-4540
- Phone Number
- 860-816-2311
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Counselor, Professional · 101YP2500X
- Taxonomy (3)
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Re-Envisioned Life Clinical Services LLC?
The NPI number of Re-Envisioned Life Clinical Services LLC is 1124907530. It was assigned on August 29, 2025 and is currently active in the NPPES registry.
What is the specialty of Re-Envisioned Life Clinical Services LLC?
Re-Envisioned Life Clinical Services LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Re-Envisioned Life Clinical Services LLC practice?
The practice location is 213 Windsor Ave Fl 1, Windsor, CT 06095-4540. The office can be reached at 860-816-2311 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124907530 directly on the NPPES registry website.