MEDICARE: MABEL & OLLIE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1952256562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MABEL & OLLIE PLLC

Provider Business Mailing Address
First Line	:	2008 NEW GARDEN RD STE A
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-2526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 NEW GARDEN RD STE A
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-2526
Country	:	US
Telephone Number	:	336-404-2731
Fax Number	:

Authorized Official
Title or Position	:	LCMHCA
Name	:	AVERY ROBBINS
Credential	:
Telephone Number	:	336-404-2731

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	02/27/2026

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