Manolitsis, Theresa Rose

Manolitsis, Theresa Rose is an individual health care provider with primary practice located at 17 Talcott Notch Rd , Farmington CT 06032-1818. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Manolitsis, Theresa Rose can be contacted via phone (860) 404-6360.

Contact Information

Primary practice address
17 Talcott Notch Rd Farmington CT 06032-1818
Phone: (860) 404-6360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Connecticut

Profile Details

NPI number 1013439488
LBN Legal business name Manolitsis, Theresa Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2017
Last updated Jul 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013439488 NPPES
Connecticut Other XGC0246M50200 ANTHEM BLUE CROSS/BLUE SHIELD

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