OrganizationActive
Re-Envisioned Life Clinical Services LLC
NPI 1124907530 · Community/Behavioral Health Agency · Windsor, CT
Provider details
- NPI number
- 1124907530
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ann-Marie Brown, Founder/Clinical Director(860) 816-2311
Specialties & taxonomies
Agencies
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
213 Windsor Ave Fl 1
Windsor, CT 06095-4540
Phone: (860) 816-2311
Street-level locationGet directions
Mailing address
213 Windsor Ave Fl 1
Windsor, CT 06095-4540
Additional practice locations (1)
- 550 Matianuck AveWindsor, CT 06095-3511Phone: (860) 816-2311
Registry dates
- Enumerated
- 2025-08-29
- Last updated
- 2025-08-29
- Certified
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.