| Olive & Oak Wellness Llc | |
|
1492 Flanders Rd Southington CT 06489-1604 | |
| (860) 334-7093 | |
| Not Available |
| Full Name | Olive & Oak Wellness Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1492 Flanders Rd, Southington, Connecticut |
| Authorized Official Name and Position | Paige Fanolis (OWNER) |
| Authorized Official Contact | 8603347093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive & Oak Wellness Llc 360b Queen St # 175 Southington CT 06489-1871 Ph: (860) 334-7093 | Olive & Oak Wellness Llc 1492 Flanders Rd Southington CT 06489-1604 Ph: (860) 334-7093 |
| NPI Number | 1407523764 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407523764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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