Healthcare Provider Details

I. General information

NPI: 1720285596
Provider Name (Legal Business Name): DAVID ALAN OLGES M.A., LMHC, NCP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5535 E 131ST ST
CARMEL IN
46033-8800
US

IV. Provider business mailing address

5659 BRUCE BLVD
NOBLESVILLE IN
46062-7116
US

V. Phone/Fax

Practice location:
  • Phone: 317-846-2884
  • Fax:
Mailing address:
  • Phone: 317-431-5112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39001012A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: