Organization · Type 2 NPI

Re-Envisioned Life Clinical Services LLC

Community/Behavioral Health Agency · Windsor, CT

NPI number 1124907530 Active

Practice location

213 Windsor Ave Fl 1
Windsor, CT 06095-4540

Other practice locations

  • 550 Matianuck Ave, Windsor, CT 06095-3511 · (860) 816-2311

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1124907530

Re-Envisioned Life Clinical Services LLC's National Provider Identifier is 1124907530, issued on Aug 29, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Windsor, CT. The record was last updated on Aug 29, 2025.