Healthcare Provider Details

I. General information

NPI: 1225837396
Provider Name (Legal Business Name): FLOURISH TO BETTER HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 STRAITS TURNPIKE UPPER LEVEL - SUITES 205-A & E
MIDDLEBURY CT
06762-2800
US

IV. Provider business mailing address

233 MAIN ST
NEW BRITAIN CT
06051-4204
US

V. Phone/Fax

Practice location:
  • Phone: 860-490-8233
  • Fax: 860-229-8886
Mailing address:
  • Phone: 860-826-1358
  • Fax: 860-229-8886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: GRACE CAVALLO
Title or Position: PRESIDENT & CEO
Credential: LCSW
Phone: 860-826-1358