| Olive Branch Counseling Center, Llc | |
|
2774 Talisman Ct Columbus OH 43209-3166 | |
| (614) 237-7237 | |
| (614) 237-7237 |
| Full Name | Olive Branch Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2774 Talisman Ct, Columbus, Ohio |
| Authorized Official Name and Position | Joan E Tucker (DIRECTOR) |
| Authorized Official Contact | 6142377237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Counseling Center, Llc 428 E Main St Columbus OH 43215-5344 Ph: (614) 237-7237 | Olive Branch Counseling Center, Llc 2774 Talisman Ct Columbus OH 43209-3166 Ph: (614) 237-7237 |
| NPI Number | 1497122493 |
|---|---|
| Provider Enumeration Date | 08/25/2015 |
| Last Update Date | 08/25/2015 |
| Medicare PECOS PAC ID | 8921374919 |
|---|---|
| Medicare Enrollment ID | O20171018002722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497122493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E09000090 (Ohio) | Primary |
| Provider Name | Joan E Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801189428 PECOS PAC ID: 6103192109 Enrollment ID: I20171018003024 |
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