Provider Demographics
NPI:1104842855
Name:SKOVRAN, HELEN PHYLLIS I (MS LMFT)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:PHYLLIS
Last Name:SKOVRAN
Suffix:I
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-4476
Mailing Address - Country:US
Mailing Address - Phone:869-314-0092
Mailing Address - Fax:
Practice Address - Street 1:38 KELLEY ST
Practice Address - Street 2:THE FAMILY THERAPY CENTER
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-5715
Practice Address - Country:US
Practice Address - Phone:860-314-1236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000738106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist