NPIMap

Organization Active NPI

Full of Life Counseling and Addiction Services, PLLC

  • Community/Behavioral Health Agency
  • Middletown, CT
National Provider Identifier
1376366153
Registry record updated Sep 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FULL OF LIFE COUNSELING AND ADDICTION SERVICES, PLLC
Practice address
515 Centerpoint Dr Ste 2200
Middletown, CT 06457-7570
Phone
(336) 829-4277
NPI assigned
Nov 1, 2024
Last updated
Sep 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2025

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

Authorized official

Name
Gevonna Graves Worney, LADCNPI 1306121959
Title
Owner
Phone
(336) 829-4277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

515 Centerpoint Dr Ste 2200
Middletown, CT 06457-7570

Mailing address

515 Centerpoint Dr Ste 2200
Middletown, CT 06457-7570
Phone (860) 743-0700

National Provider Directory

National Provider Directory

Locations

515 Centerpoint Dr
Ste 2200
Middletown, CT 06457
Phone (336) 829-4277

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758412800000",
    "number": "1376366153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CENTERPOINT DR STE 2200",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577570",
            "telephone_number": "860-743-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CENTERPOINT DR STE 2200",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577570",
            "telephone_number": "336-829-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL OF LIFE COUNSELING AND ADDICTION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A",
        "authorized_official_last_name": "GRAVES WORNEY",
        "authorized_official_first_name": "GEVONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-829-4277",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.