Organization
FIRST LIGHT COLLECTIVE INCORPORATED
Active
Organization
FIRST LIGHT COLLECTIVE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZARIA DRAKEFORD LPC,LMHC (CEO)
(860) 682-3358
Entity
Organization
Contact information
Practice address
28 KENSINGTON ST, MANCHESTER, CT 06040-5422
(860) 648-3592
Mailing address
28 KENSINGTON ST, MANCHESTER, CT 06040-5422
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/06/2025
Last updated
06/03/2026
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