Healthcare Provider Details

I. General information

NPI: 1528981925
Provider Name (Legal Business Name): OLIVIA FORCUM LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 BROOKHILL LN STE 105
CIRCLEVILLE OH
43113-9289
US

IV. Provider business mailing address

519 GARDEN PKWY
CIRCLEVILLE OH
43113-1419
US

V. Phone/Fax

Practice location:
  • Phone: 740-500-0383
  • Fax: 877-803-8484
Mailing address:
  • Phone: 740-649-9434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2406257
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: