Provider Demographics
NPI:1326640558
Name:STANKOVIC, OLGA ARKADIYEVNA (MHC-LP)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:ARKADIYEVNA
Last Name:STANKOVIC
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 AUDUBON AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-8764
Mailing Address - Country:US
Mailing Address - Phone:347-724-4990
Mailing Address - Fax:
Practice Address - Street 1:73 LENOX AVE # 207
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-3007
Practice Address - Country:US
Practice Address - Phone:212-663-1596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health