Organization
MENTAL HEALTH RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA SELIKHOV APRN (OWNER)
(860) 617-0510
Entity
Organization
Contact information
Practice address
125 HEMLOCK POINT DR, COVENTRY, CT 06238-2336
(860) 617-0510
Mailing address
125 HEMLOCK POINT DR, COVENTRY, CT 06238-2336
(860) 617-0510
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
003094
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400003094CT03
ANTHEM BCBS
CT
Enumeration date
09/20/2006
Last updated
03/04/2017
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