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Contact Information

OLIVE BRANCH WELLNESS CENTER
4144 N. ARMENIA AVE
SUITE 350
TAMPA, FL33607
 Phone: 813-522-1690
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for OLIVE BRANCH WELLNESS CENTER · (Female)

NPI # 1235797887
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2019
Last updated 05/30/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Other IMH16103 STATE OF FLORIDA DEPARTMENT OF HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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