Re-Envisioned Life Clinical Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RE-ENVISIONED LIFE CLINICAL SERVICES LLC

Practice address

213 Windsor Ave FL 1
Windsor, CT 06095-4540

Phone

(860) 816-2311

NPI assigned

Aug 29, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ann-Marie Atiyah Brown, M.ED, LPC MMFT MMHCNPI 1164912846

Title

Founder/Clinical Director

Phone

(860) 816-2311

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann-Marie Brown, LPC, M.ED, MMFT MMHC

  • Professional Counselor
  • Windsor, CT
  • NPI 1164912846
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1124907530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WINDSOR AVE FL 1",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954540",
            "telephone_number": "860-816-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WINDSOR AVE FL 1",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954540",
            "telephone_number": "860-816-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Matianuck Ave",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "060953511",
            "country_code": "US",
            "telephone_number": "860-816-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RE-ENVISIONED LIFE CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANN-MARIE",
        "authorized_official_middle_name": "ATIYAH",
        "authorized_official_title_or_position": "FOUNDER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "860-816-2311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED, LPC MMFT MMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Windsor, CT
• Providers in Windsor, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.