| Olive Branch Family Therapy, Pllc | |
|
201 Holly Springs Rd Holly Springs NC 27540-9023 | |
| (919) 428-7746 | |
| (919) 800-3949 |
| Full Name | Olive Branch Family Therapy, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 201 Holly Springs Rd, Holly Springs, North Carolina |
| Authorized Official Name and Position | James Lawson Machado Workman (THERAPIST/OWNER) |
| Authorized Official Contact | 9194287746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Family Therapy, Pllc 201 Holly Springs Rd Holly Springs NC 27540-9023 Ph: (919) 428-7746 | Olive Branch Family Therapy, Pllc 201 Holly Springs Rd Holly Springs NC 27540-9023 Ph: (919) 428-7746 |
| NPI Number | 1073001970 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 09/29/2020 |
| Certification Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073001970 | NPI | - | NPPES |
| 4541161060000 | Other | NC | CIGNA |
| 1255883385 | Other | NC | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1922 (North Carolina) | Primary |
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