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General NPI Number Information
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NPI Number | 1548844368
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Entity Type | Organization
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Legal Business Name | OLIVE & OAK THERAPY, LLC
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 112 S MAIN ST
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City | MT PLEASANT
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State | MI
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Zip | 48858-2326
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Country | US
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Telephone | 989-259-8126
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Fax | 888-496-0170
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Provider Business Mailing Address
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Address Line | 112 S MAIN ST
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-2326
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Country | US
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Telephone | 989-259-8126
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Fax | 888-496-0170
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Authorized Official
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Title or Position | OWNER
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Name | KATIE LEIGH MOST
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Credential | LMSW
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Telephone | 989-259-8126
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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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