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General NPI Number Information
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NPI Number | 1043904139
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Entity Type | Organization
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Legal Business Name | OLYMPUS BEHAVIORAL SERVICES LLC
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Dates
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Enumeration Date | 06/02/2023
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Last Update Date | 07/06/2025
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Provider Practice Location Address
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Address Line | 150 STATE ST FL 4
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City | ALBANY
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State | NY
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Zip | 12207-1623
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Country | US
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Telephone | 252-525-3882
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Fax |
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Provider Business Mailing Address
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Address Line | 329 MOUNTAIN ST
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City | ALBANY
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State | NY
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Zip | 12209-2013
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Country | US
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Telephone | 252-525-3882
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Fax | 518-510-8064
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Authorized Official
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Title or Position | NURSE PRACTITIONER /OWNER
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Name | NICOLA NATASHA RIVERS
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Credential |
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Telephone | 252-525-3882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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