Provider Demographics
NPI:1891599767
Name:LOMBARD COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:LOMBARD COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:LOMBARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-615-2292
Mailing Address - Street 1:20 LINCOLN CIR
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-5566
Mailing Address - Country:US
Mailing Address - Phone:207-615-2292
Mailing Address - Fax:
Practice Address - Street 1:20 LINCOLN CIR
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-5566
Practice Address - Country:US
Practice Address - Phone:207-615-2292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty