OLIVE BRANCH BEHAVIOR THERAPY NPI 1760356539

NPI Information

NPI: 1760356539
Provider Name: OLIVE BRANCH BEHAVIOR THERAPY
Classification: Clinic/Center - 261QM0855X
Specialization: Adolescent and Children Mental Health
Entity Type: Organization
Address: 6399 LITTLE RIVER TPKE
ALEXANDRIA, VA
ZIP 22312
Phone: (571) 800-7777

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NPI Details

OLIVE BRANCH BEHAVIOR THERAPY is an adolescent and children mental health clinic center in Alexandria, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. OLIVE BRANCH BEHAVIOR THERAPY NPI is 1760356539. The provider is registered as an organization entity type.

The provider's business location address is:

6399 LITTLE RIVER TPKE
ALEXANDRIA, VA
ZIP 22312-093
Phone: (571) 800-7777

The provider's authorized official is Saharla Jama .
The authorized official title is Direct Support Professional and has the following contact phone number (571) 800-7777.

The enumeration date for this NPI number is 10/3/2025 and was last updated on 10/3/2025.

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	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	251S00000X	Community/Behavioral Health		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	261QM0855X	Clinic/Center	Adolescent and Children 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: 11/21/2025

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