Healthcare Provider Details

I. General information

NPI: 1174316426
Provider Name (Legal Business Name): OLIVIA JOY OLMSTED MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8623 N WAYNE RD
WESTLAND MI
48185-1137
US

IV. Provider business mailing address

3149 FAWN LN
JACKSON MI
49201-9008
US

V. Phone/Fax

Practice location:
  • Phone: 734-458-4601
  • Fax:
Mailing address:
  • Phone: 517-945-6434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: