Healthcare Provider Details

I. General information

NPI: 1265261424
Provider Name (Legal Business Name): HONOR WELLNESS CENTER INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 HEBRON AVE STE 2
GLASTONBURY CT
06033-5001
US

IV. Provider business mailing address

703 HEBRON AVE STE 2
GLASTONBURY CT
06033-5001
US

V. Phone/Fax

Practice location:
  • Phone: 860-919-9762
  • Fax: 203-651-1013
Mailing address:
  • Phone: 860-919-9762
  • Fax: 203-651-1013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: PHYLLIS V DIGIOIA
Title or Position: CEO
Credential: LCSW
Phone: 860-919-9762