Weave Your Life LLC
Weave Your Life LLC is a healthcare organization registered as Clinical Social Worker in Southington, CT, holding Type 2 (organization) NPI 1104149293 since 2010. The authorized official on file is Audrey Bennett, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104149293 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Weave Your Life LLC |
| Practice address | 963 QUEEN ST, SUITE C, Southington, CT, 06489 |
| Phone | 8608198570 |
| Enumeration date | 2010-03-04 |
| Last updated in NPPES | 2012-08-13 |
Authorized official
| Name | Audrey Bennett |
|---|---|
| Title | Manager |
| Phone | 8608198570 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Secondary | 006194 | CT |
| 251S00000X | Community/Behavioral Health Agency | Secondary | 000729 | CT |
| 1041C0700X | Clinical Social Worker | Primary | 006194 | CT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008040743 | Medicaid | CT | — |
Copy-ready billing details
Provider: Weave Your Life LLC NPI: 1104149293 Taxonomy: 1041C0700X (Clinical Social Worker) Address: 963 QUEEN ST, SUITE C, Southington, CT, 06489
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417221003 | Dara Holcomb | Individual | Professional Counselor | Southington, CT |
| 1356757413 | Erica Marchetti | Individual | Counselor | Southington, CT |
Verify this record
Cross-check NPI 1104149293 against the authoritative CMS record: view Weave Your Life LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Weave Your Life LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-08-13.