ALLISON BOMBARD LCSW
NPI 1952940140
Clinic/Center - Adult Mental Health in Meriden, CT
- Organization
- Clinic/Center
- Adult Mental Health
About ALLISON BOMBARD LCSW
This page provides the complete NPI Profile along with additional information for Allison Bombard Lcsw, a provider established in Meriden, Connecticut operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1952940140 assigned on January 2020. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Allison Bombard Lcsw. The authorized official of this NPI record is Allison Bombard Lcsw (Owner)
- NPI
- 1952940140 Verify this NPI
- Provider Legal Name
- SHADES GREENER, LLC
- Other Organization Name
- ALLISON BOMBARD LCSW
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 18 LYDALE PL MERIDEN, CT 06450
- Location Phone
- (203) 514-4189
- Mailing Address
- 18 LYDALE PL MERIDEN, CT 06450
- Mailing Phone
- (203) 339-2593
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2020
- Last Update Date
- 07-06-2021
- Code Navigator
Location Map
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 Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952940140, enumerated as an "organization" on January 05, 2020.
The provider is located at 18 LYDALE PL MERIDEN, CT 06450 and the phone number is (203) 514-4189.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.