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General NPI Number Information
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NPI Number | 1134978745
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Entity Type | Organization
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Legal Business Name | OLB SERVICES LLC
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Dates
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Enumeration Date | 05/15/2024
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1041 N WESTERN AVE STE 1
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City | CHICAGO
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State | IL
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Zip | 60622-6089
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Country | US
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Telephone | 312-796-7266
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Fax |
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Provider Business Mailing Address
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Address Line | 2202 W RACE AVE APT 3E
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City | CHICAGO
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State | IL
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Zip | 60612-5476
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | OLIVIA BERKELEY
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Credential | LCSW
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Telephone | 512-434-9934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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