Healthcare Provider Details

I. General information

NPI: 1952206187
Provider Name (Legal Business Name): ITOPIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

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: 240-250-8523
  • Fax: 240-250-8523
Mailing address:
  • Phone: 240-250-8523
  • Fax: 240-250-8523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: ASIM SALEEM
Title or Position: DIRECTOR
Credential: LMHC
Phone: 240-250-8523