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General NPI Number Information
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NPI Number | 1497122493
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Entity Type | Organization
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Legal Business Name | OLIVE BRANCH COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 08/25/2015
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 3964 E MAIN ST
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City | WHITEHALL
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State | OH
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Zip | 43213-2949
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Country | US
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Telephone | 614-589-5943
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Fax | 614-237-9736
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Provider Business Mailing Address
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Address Line | 2774 TALISMAN CT
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City | COLUMBUS
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State | OH
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Zip | 43209-3166
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Country | US
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Telephone | 614-589-5943
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Fax | 614-239-7396
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JUDY Y REED KING
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Credential |
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Telephone | 614-314-1477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E09000090
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License Number State | OH
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