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STILL I BLOOM LCSW
NPI 1356184493
Clinic/Center - Mental Health (Including Community Mental Health Center) in Albany, NY

Active since June 17, 2024
107 WINNIE ST, ALBANY, NY 12208(518) 487-9950 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About STILL I BLOOM LCSW

This page provides the complete NPI Profile along with additional information for Still I Bloom Lcsw, a provider established in Albany, New York operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1356184493 assigned on June 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Chenique L Boutelle Lcsw (Owner)

NPI
1356184493 Verify this NPI
Provider Name
STILL I BLOOM LCSW
Entity Type
Organization
Location Address
107 WINNIE ST ALBANY, NY 12208
Location Phone
(518) 487-9950
Mailing Address
1060 BROADWAY # 1312 MENANDS, NY 12204
Mailing Phone
(518) 363-9288
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2024
Last Update Date
06-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHENIQUE L BOUTELLE LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(518) 487-9950

Reviews for STILL I BLOOM LCSW

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

MRS. CHENIQUE L BOUTELLE LCSW
Social Worker
107 WINNIE ST
ALBANY, NY 12208
Albany County (518) 487-9950

Frequently Asked Questions

What is STILL I BLOOM LCSW's NPI number?

The NPI number assigned to this healthcare provider is 1356184493, enumerated as an "organization" on June 17, 2024.

Where is the provider located?

The provider is located at 107 WINNIE ST ALBANY, NY 12208 and the phone number is (518) 487-9950.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).