MENTAL HEALTH RESOURCES LLC NPI 1053419747

NPI Information

NPI: 1053419747
Provider Name: MENTAL HEALTH RESOURCES LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
125 HEMLOCK POINT DR
COVENTRY, CT
ZIP 06238
Phone: (860) 617-0510
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MENTAL HEALTH RESOURCES LLC is a psychiatric/mental health nurse practitioner in Coventry, CT. MENTAL HEALTH RESOURCES LLC NPI is 1053419747. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 HEMLOCK POINT DR
COVENTRY, CT
ZIP 06238-336
Phone: (860) 617-0510

The provider's authorized official is Olga Selikhov .
The authorized official title is Owner and has the following contact phone number (860) 617-0510.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	003094	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	400003094CT03	OTHER	CONNECTICUT	ANTHEM BCBS
2	C03433	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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