First Light Collective Incorporated
NPI #1609665520 in Manchester, Connecticut
Provider Information
- NPI Number
- 1609665520
- Entity Type
- Organization
- Organization Name
- First Light Collective Incorporated
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 6, 2025
- Last Updated
- May 6, 2025
Practice Location
- Address
- 30 CLINTON ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-6132
- Phone
- (860) 486-3592
Authorized Official
- Name
- AZARIA DRAKEFORD, LPC,LMHC
- Title
- CEO
- Phone
- (860) 682-3358
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Community/Behavioral Health |
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