| Organization Name: | MENTAL HEALTH RESOURCES LLC |
| NPI Number: | 1053419747 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLGA SELIKHOV (OWNER) |
| Mailing Address: | 17 Flaherty Rd Storrs Mansfield |
| State: | CT US |
| Postal Code: | 062682301 |
| Phone Number: | 8606170510 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 09/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 003094 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |