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General NPI Number Information
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NPI Number | 1275323750
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Entity Type | Organization
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Legal Business Name | OLIVE LEAF COUNSELING CENTER PLLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1500 INDUSTRIAL BLVD STE 305-B
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City | ABILENE
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State | TX
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Zip | 79602-7969
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Country | US
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Telephone | 254-433-8869
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 551
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City | CLYDE
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State | TX
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Zip | 79510-0551
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Country | US
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Telephone | 325-725-0810
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Fax |
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Authorized Official
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Title or Position | OLIVE LEAF COUNSELING CENTER, PLLC
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Name | CARRIE WINDHAM, M.MFT LMFT
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Credential | MANAGING MEMBER OF
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Telephone | 325-725-0810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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