Healthcare Provider Details

I. General information

NPI: 1790665016
Provider Name (Legal Business Name): OLIVIA FRANTUM MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

971 E TURKEYFOOT LAKE RD STE D
GREEN OH
44312-5240
US

IV. Provider business mailing address

421 GRAHAM RD STE B
CUYAHOGA FALLS OH
44221-1344
US

V. Phone/Fax

Practice location:
  • Phone: 330-510-4900
  • Fax: 330-510-5900
Mailing address:
  • Phone: 330-510-4900
  • Fax: 330-510-5900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberM.2500385
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: