OLIVE BRANCH COUNSELING ASSOCIATES INC. NPI 1730124157

NPI Information

NPI: 1730124157
Provider Name: OLIVE BRANCH COUNSELING ASSOCIATES, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
15601 CICERO AVE
SUITE 103
OAK FOREST, IL
ZIP 60452
Phone: (708) 687-3479
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OLIVE BRANCH COUNSELING ASSOCIATES, INC. is a mental health counselor in Oak Forest, IL. OLIVE BRANCH COUNSELING ASSOCIATES, INC. NPI is 1730124157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15601 CICERO AVE
SUITE 103
OAK FOREST, IL
ZIP 60452-635
Phone: (708) 687-3479
Fax: (708) 687-3480

The provider's authorized official is Louella Beth Devries .
The authorized official title is President and has the following contact phone number (708) 687-3479.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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