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Organization
RAVENSWOOD PSYCHIATRIC SERVICES, P.L.L.C.
Active
Organization
RAVENSWOOD PSYCHIATRIC SERVICES, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE M DOLAT PMHNP-BC, FNP-BC (APRN)
(860) 218-0393
Entity
Organization
Contact information
Practice address
215 E MAIN ST STE 4, VERNON, CT 06066-3352
(860) 341-6885
(860) 703-3903
Mailing address
195 DAVIS RD, STORRS MANSFIELD, CT 06268-2523
(860) 218-0393
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/30/2026
Last updated
09/23/2026
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