MEDICARE: OLIVIA FRANTUM MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	M.2500385	OH

General Provider Information

NPI Number	:	1790665016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA FRANTUM MFT

Provider Business Mailing Address
First Line	:	421 GRAHAM RD STE B
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-1344
Country	:	US
Telephone Number	:	330-510-4900
Fax Number	:	330-510-5900

Provider Business Practice Location Address
First Line	:	421 GRAHAM RD STE B
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-1344
Country	:	US
Telephone Number	:	330-510-4900
Fax Number	:	330-510-5900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	04/08/2026

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Directions to “ OLIVIA FRANTUM MFT” Practice Location

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