Organization
SHADES GREENER, LLC
Active
Other names
Allison Bombard LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BOMBARD LCSW (OWNER)
(203) 339-2593
Entity
Organization
Contact information
Practice address
18 LYDALE PL, MERIDEN, CT 06450-6125
(203) 514-4189
Mailing address
18 LYDALE PL, MERIDEN, CT 06450-6125
(203) 339-2593
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/05/2020
Last updated
07/06/2021
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