Healthcare Provider Details

I. General information

NPI: 1336044551
Provider Name (Legal Business Name): ASIM SALEEM LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 LONG MEADOW DR
MERIDEN CT
06450-6928
US

IV. Provider business mailing address

49 LONG MEADOW DR
MERIDEN CT
06450-6928
US

V. Phone/Fax

Practice location:
  • Phone: 343-296-3342
  • Fax: 343-296-3342
Mailing address:
  • Phone: 343-296-3342
  • Fax: 343-296-3342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number000670
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: