BOMBORA THERAPY, LLC
NPI 1124863006
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ponte Vedra Beach, FL

Q: What is Bombora Therapy, LLC's NPI number?

The NPI number for Bombora Therapy, LLC is 1124863006. It was assigned to this organization in the NPPES registry on July 1, 2024.

Q: What is Bombora Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since July 01, 2024

4400 MARSH LANDING BLVD STE 203, PONTE VEDRA BEACH, FL 32082(904) 834-0515 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2024, Jul 1, 2024 (2 updates tracked since 2024).

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About Bombora Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOMBORA THERAPY, LLC (NPI 1124863006) is a healthcare organization registered as a mental health (including community mental health center) in Ponte Vedra Beach, Florida and active in the NPI registry since July 2024. The organization lists Matthew Hood, Owner, as its authorized official.

NPPES Registry Identity

NPI1124863006

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameBOMBORA THERAPY, LLC

Location Address4400 MARSH LANDING BLVD STE 203Ponte Vedra Beach, FL 32082-1287

Mailing Address4400 Marsh Landing Blvd Ste 203Ponte Vedra Beach, FL 32082-1287

Phone(904) 834-0515

Organization SubpartNo

Authorized OfficialMatthew HoodOwner · (904) 834-0515

Enumeration DateJuly 1, 2024

Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration

NPPES CertifiedNovember 4, 2024

✔ NPI 1124863006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

4400 MARSH LANDING BLVD STE 203, Ponte Vedra Beach, FL 32082

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY MARIE JACOBY LMHC

Counselor (Mental Health)

4400 MARSH LANDING BLVD STE 203
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 325-6283

PATHS 2 PEACE LLC

Counselor (Mental Health)

4400 MARSH LANDING BLVD STE 203
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 458-5553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bombora Therapy, LLC's NPI number?

The NPI number for Bombora Therapy, LLC is 1124863006. It was assigned to this organization in the NPPES registry on July 1, 2024.

Where is Bombora Therapy, LLC located?

Bombora Therapy, LLC is located at 4400 Marsh Landing Blvd Ste 203, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 834-0515.

What is Bombora Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Bombora Therapy, LLC was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.