| Olivet Behavioral Health Services, Llc | |
|
8336 Office Park Dr Ste K Douglasville GA 30134-6937 | |
| (678) 458-1759 | |
| Not Available |
| Full Name | Olivet Behavioral Health Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8336 Office Park Dr Ste K, Douglasville, Georgia |
| Authorized Official Name and Position | Darren Lee Cooper (FOUNDER & CEO) |
| Authorized Official Contact | 6784581759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olivet Behavioral Health Services, Llc 3002 Olde Tabby Dr Douglasville GA 30135-9223 Ph: (678) 458-1759 | Olivet Behavioral Health Services, Llc 8336 Office Park Dr Ste K Douglasville GA 30134-6937 Ph: (678) 458-1759 |
| NPI Number | 1730679127 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 05/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730679127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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