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Professional Resource Group Pc
Psychiatric/Mental Health Nurse Practitioner in Mansfield Center, Connecticut
NPI 1710019963

Professional Resource Group Pc is a Psychiatric/Mental Health Nurse Practitioner based in Mansfield Center, CT and is specialized in Psychiatric/Mental Health. Professional Resource Group Pc practices in Mansfield Center, CT. The NPI Number for Professional Resource Group Pc is 1710019963 and holds a License No. (Connecticut).

The current practice location address for Professional Resource Group Pc is 207 Storrs Rd # 174, Mansfield Center, CT and can be reached out via phone at 860-456-4604 and via fax at 860-456-1738.

Location: 207 Storrs Rd # 174, Mansfield Center, CT, 06250-1638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710019963
Provider Name
Professional Resource Group Pc
Credential
Provider Entity Type
Organization
Address
207 Storrs Rd # 174, Mansfield Center, CT, 06250-1638
Phone Number
860-456-4604
Fax Number
860-456-1738
Provider Enumeration Date
03/12/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004398047 05 CT
008002985 05 CT
004255057 05 CT
620000199 01 CT MEDICARE
008033020 05 CT
297211 01 MHN
C007612 01 TRICARE
004255007 05 CT
institution
Provider Business Practice Location Address Details
Address
207 Storrs Rd # 174
City
Mansfield Center
State
Connecticut
Zip
06250-1638
Phone Number
860-456-4604
Fax Number
860-456-1738
person
Provider Business Mailing Address Details
Address
207 Storrs Rd # 174
City
Mansfield Center
State
Connecticut
Zip
06250-1638
Phone Number
860-456-4604
Fax Number
860-456-1738
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
(Connecticut)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
(Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
(Connecticut)
Definition
Definition to come...
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