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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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