Shades Greener, LLC
Clinic/Center, Adult Mental Health in Meriden, Connecticut
1952940140- Practice location
- 18 Lydale Pl, Meriden, CT 06450-6125
- Phone
- 203-514-4189
- Fax
- —
- Last updated
- July 6, 2021
Shades Greener, LLC is a healthcare organization based in Meriden, CT. Shades Greener, LLC practices in Meriden, CT. The NPI Number for Shades Greener, LLC is 1952940140. The current practice location address for Shades Greener, LLC is 18 Lydale Pl, Meriden, CT 06450-6125 and can be reached out via phone at 203-514-4189.
Provider Profile Details
- NPI Number
- 1952940140
- Provider Name
- Shades Greener, LLC
- Provider Entity Type
- Organization
- Address
- 18 Lydale Pl, Meriden, CT 06450-6125
- Phone Number
- 203-514-4189
- Primary Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X
- Organization Subpart
- No
- Authorized Official
- Allison Bombard, LCSW · Owner · 203-339-2593
- Other Names
- Allison Bombard LCSW (Doing Business As)
- Provider Enumeration Date
- January 5, 2020
- Last Update Date
- July 6, 2021
- Certification Date
- July 6, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18 Lydale Pl
Meriden, CT 06450-6125 - City
- Meriden
- State
- Connecticut
- Zip
- 06450-6125
- Phone Number
- 203-514-4189
Provider Business Mailing Address Details
- Address
- 18 Lydale Pl
Meriden, CT 06450-6125 - City
- Meriden
- State
- CT
- Zip
- 06450-6125
- Phone Number
- 203-339-2593
License Information
- Taxonomy (1)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (2)
- Clinic/Center, Adult Mental Health · 261QM0850X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Gloria N KorpNurse Practitioner, Psych/Mental Health · NPI 1033019039
- Marisa A BroughPhysician Assistant · NPI 1699609933
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Frequently Asked Questions
What is the NPI number of Shades Greener, LLC?
The NPI number of Shades Greener, LLC is 1952940140. It was assigned on January 5, 2020 and is currently active in the NPPES registry.
What is the specialty of Shades Greener, LLC?
Shades Greener, LLC is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X).
Where does Shades Greener, LLC practice?
The practice location is 18 Lydale Pl, Meriden, CT 06450-6125. The office can be reached at 203-514-4189 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952940140 directly on the NPPES registry website.