Organization
FULL OF LIFE COUNSELING AND ADDICTION SERVICES, PLLC
Active
Organization
FULL OF LIFE COUNSELING AND ADDICTION SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEVONNA GRAVES WORNEY LADC (OWNER)
(336) 829-4277
Entity
Organization
Contact information
Practice address
515 CENTERPOINT DR STE 2200, MIDDLETOWN, CT 06457-7570
(336) 829-4277
Mailing address
515 CENTERPOINT DR STE 2200, MIDDLETOWN, CT 06457-7570
(860) 743-0700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
09/21/2025
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