| Olive Branch Therapy And Family Services Llc | |
|
4369 S Howell Ave Ste 305 Milwaukee WI 53207-5055 | |
| (414) 465-8317 | |
| (141) 443-3445 |
| Full Name | Olive Branch Therapy And Family Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4369 S Howell Ave Ste 305, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Priscilla C Haynes (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4144298603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Therapy And Family Services Llc 3625 N 58th Blvd Milwaukee WI 53216-2848 Ph: (414) 429-8603 | Olive Branch Therapy And Family Services Llc 4369 S Howell Ave Ste 305 Milwaukee WI 53207-5055 Ph: (414) 465-8317 |
| NPI Number | 1811597420 |
|---|---|
| Provider Enumeration Date | 11/01/2020 |
| Last Update Date | 11/01/2020 |
| Certification Date | 11/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811597420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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