| Olive Branch Counseling Services Llc | |
|
75 Woodford Avenue Ext Apt 1 Plainville CT 06062-2561 | |
| (860) 921-3417 | |
| Not Available |
| Full Name | Olive Branch Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 75 Woodford Avenue Ext Apt 1, Plainville, Connecticut |
| Authorized Official Name and Position | Amanda Ayers (OWNER) |
| Authorized Official Contact | 8609213417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Counseling Services Llc 75 Woodford Avenue Ext Apt 1 Plainville CT 06062-2561 Ph: (860) 921-3417 | Olive Branch Counseling Services Llc 75 Woodford Avenue Ext Apt 1 Plainville CT 06062-2561 Ph: (860) 921-3417 |
| NPI Number | 1669053153 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 04/16/2021 |
| Certification Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669053153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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