LESLIE MALLIMSON (NPI# 1992877922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992877922 |
Entity Type | Individual |
Full Name | LESLIE MALLIMSON |
Credential | LPC |
Practice Address |
68 Main St Centerbrook CT 06409 |
Mailing Address |
Po Box 182 68 Main St Centerbrook CT 06409 |
Practice Telephone | 8607672266 |
Practice Fax Number | 8607675067 |
Mailing Telephone | 8607672266 |
Mailing Fax Number | 8607675067 |
Enumeration Date | 2006-11-14 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
CT000274CT | CT | Behavioral Health & Social Service Providers |
Street Address |
68 MAIN ST |
City | CENTERBROOK |
State | CT |
Zip Code | 06409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104993575 | Sara Brooke Snyder | Social Worker | 68 Main St, Centerbrook, CT 06409-1001 | 2006-11-29 |
1952492092 | Robert A Mallimson | Psychologist | 68 Main St, Centerbrook, CT 06409 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699822155 | Diane Elizabeth Gawronski | Dentist | 14 Westbrook Rd, Centerbrook, CT 06409 | 2007-01-05 |
1043321474 | Pamela M Murphy | Family Medicine | 5761 Main Street, Centerbrook, CT 06409 | 2006-08-31 |
1093718611 | Essex Ambulance Association Incorporated | Ambulance | 149 Dennison Road, Centerbrook, CT 06409 | 2005-05-27 |
1780017202 | Quality Care Drug/centerbrook,llc | Pharmacy | 33 Main Street, Centerbrook, CT 06409 | 2013-08-20 |
1003957416 | Medical Equipment of Centerbrook, LLC | Durable Medical Equipment & Medical Supplies | 33 Main St, Centerbrook, CT 06409 | 2007-02-09 |
1689733024 | Donna Esty Funk | Chiropractor | 90 Main St, Suite 103, Centerbrook, CT 06409 | 2006-12-08 |
1053406801 | Susan Mary Mcgrath | Social Worker | 43 Main St, Centerbrook, CT 06409 | 2006-10-04 |
1548360977 | Maxi Drug Inc | Pharmacy | 33 Main Street, Centerbrook, CT 06409 | 2006-09-25 |
1790084622 | Ernest D. Reamer Dmd PC | Dentist | 62 Main St, Centerbrook, CT 06409-1001 | 2011-03-17 |
1821296674 | Carolyn Reamer Blicharz | Dentist | 62 Main St, Centerbrook, CT 06409-1001 | 2007-07-03 |
Find all providers in zip 06409 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1184225013 | Madison Kathleen Reimondo | Counselor | 185 Silas Deane Hwy Ste 2, Wethersfield, CT 06109-1219 | 2020-11-06 |
1336740935 | Art Therapy Explorations LLC | Counselor | 23 Temple St, New Haven, CT 06510-2714 | 2020-11-02 |
1992303853 | Steps Counseling LLC | Counselor | 182 Candlewyck Dr, Newington, CT 06111-5229 | 2020-10-13 |
1578170965 | Elizabeth Ferguson | Counselor | 183 Montowese St Ste G, Branford, CT 06405-3869 | 2020-09-29 |
1912514605 | Well Beyond Counseling Pllc | Counselor | 2 Tunxis Rd Ste 201, Tariffville, CT 06081-9687 | 2020-09-26 |
1033725510 | Bianca Mcdaniel | Counselor | 1652 Meriden Rd Apt 22, Waterbury, CT 06705-3922 | 2020-09-20 |
1639784358 | Laura Sanford | Counselor | 107 Godek Hill Rd, Meriden, CT 06451-5081 | 2020-09-10 |
1669086799 | Berry Family Psychotherapy, LLC | Counselor | 27 White Rd, Middletown, CT 06457-2321 | 2020-09-05 |
1548874092 | Catherine Kimball | Counselor | 386 Cotton Hill Rd, New Hartford, CT 06057-3402 | 2020-09-02 |
1871106674 | Mindful Vision Counseling | Counselor | 304 W Main St Ste 21057, Avon, CT 06001-4355 | 2020-08-31 |
Find all providers with the same taxonomy |
City | CENTERBROOK |
Zip Code | 06409 |
Please comment or provide details below to improve the information on LESLIE MALLIMSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.