OLIVIA LONG MARTIN (NPI# 1558836080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558836080 |
| Entity Type | Individual |
| Full Name | OLIVIA LONG MARTIN |
| Credential | LPC |
| Practice Address |
199 Charmant Pl Ste 3c Ridgeland MS 39157-4358 |
| Practice Telephone | 6017900393 |
| Mailing Telephone | 6017900393 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2206 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225677578 | Olivia Ann Martin | Behavioral Analyst | 2134 Holiday Ln, Franklin, IN 46131-2600 | 2020-01-04 |
| 1467008912 | Olivia Marie Martin | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2019-08-12 |
| 1386296580 | Olivia Martin | Behavior Technician | 2890 Carpenter Rd Ste 1100, Ann Arbor, MI 48108-1190 | 2019-07-09 |
| 1699239392 | Olivia Robertson Martin | Occupational Therapist | 1199 Hayes Forest Dr, Winston Salem, NC 27106-3377 | 2019-01-27 |
| 1396275707 | Olivia Anne Martin | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S8b13, Baltimore, MD 21201-1544 | 2017-06-18 |
| 1538604301 | Olivia Ann Martin | Physical Therapist | 1282 Waterloo Geneva Rd, Waterloo, NY 13165-1208 | 2017-01-03 |
| 1336695550 | Olivia Martin | Physical Therapist | 2110 Fox Dr, Champaign, IL 61820-7553 | 2016-08-28 |
| 1497108138 | Olivia Martin | Physical Therapist | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2016-07-18 |
| 1306153846 | Olivia D. Martin | Counselor | 3434 Grove St, Lemon Grove, CA 91945-1812 | 2010-09-03 |
| 1083634638 | Olivia Hoelscher Martin | Occupational Therapist | 911 Hillcrest Pkwy, Dublin, GA 31021-4207 | 2006-07-19 |
| Street Address |
199 CHARMANT PL STE 3C |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-4358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558836098 | Crystal Jackson | Counselor | 199 Charmant Pl Ste 3c, Ridgeland, MS 39157-4358 | 2018-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558923391 | Kenneth Spansel | Counselor | 222 Sunnybrook Rd, Ridgeland, MS 39157-2205 | 2019-07-02 |
| 1790241115 | Brenna Weaver | Counselor | 206 W Jackson St Ste 200, Ridgeland, MS 39157-2310 | 2019-02-11 |
| 1942708532 | Natalie Wolfe | Counselor | 407 Fontaine Pl Ste 103, Ridgeland, MS 39157-5144 | 2018-01-29 |
| 1235659491 | Preston Duvall Johnson | Counselor | 340 Arbor Dr Apt 2273, Ridgeland, MS 39157-4827 | 2017-06-20 |
| 1457804148 | Erica Brumfield | Counselor | 880 William Blvd, Ridgeland, MS 39157-1588 | 2016-07-28 |
| 1194178426 | Karen Lycette | Counselor | 206 W Jackson St Ste 100, Ridgeland, MS 39157-2310 | 2016-07-21 |
| 1023484888 | Ronald Whittington | Counselor | 357 Towne Center Blvd., Ste 203, Ridgeland, MS 39157-4837 | 2015-08-17 |
| 1134528821 | Mark Tyner Hagwood | Counselor | 128 Maple Drive, Suite A, Ridgeland, MS 39157 | 2014-08-19 |
| 1639592991 | Emily Jernigan | Counselor | 407 Fontaine Pl, Suite 102, Ridgeland, MS 39157-5144 | 2014-01-22 |
| 1023441870 | Regina Sharnee Fults-mcmurtery | Counselor | 661 Highway 51, Suite 1d, Ridgeland, MS 39157-2130 | 2013-08-15 |
| Find all providers in RIDGELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.