OLIVE BRANCH COUNSELING AND WELLNESS, LLC (NPI# 1932522356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932522356 |
| Entity Type | Organization |
| Organization Name | OLIVE BRANCH COUNSELING AND WELLNESS, LLC |
| Practice Address |
444 N Main St Suite 408 Akron OH 44310-3110 |
| Mailing Address |
Po Box 4034 Copley OH 44321-0034 |
| Practice Telephone | 3308054587 |
| Practice Fax Number | 3308054587 |
| Mailing Telephone | 3308054587 |
| Mailing Fax Number | 3308054587 |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | DR. JENNIFER LARA DOUGALL (PROFESSIONAL CLINICAL COUNSELOR) |
| Authorized Official Telephone | 3308054587 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | E 0007143 | OH | Agencies |
| Street Address |
444 N MAIN ST SUITE 408 |
| City | AKRON |
| State | OH |
| Zip Code | 44310-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336135474 | Bashar A. Mubashir | Internal Medicine | 444 N Main St, Suite 302, Akron, OH 44310-3110 | 2005-09-23 |
| 1184222812 | Jacob Nicholas Mustar | Registered Nurse | 444 N Main St, Akron, OH 44310-3110 | 2020-10-14 |
| 1942859426 | Rebekah Weismantel | Registered Nurse | 444 N Main St, Akron, OH 44310-3110 | 2019-09-08 |
| 1992279723 | Haley Suzanne Franck | Nurse Anesthetist, Certified Registered | 444 N Main St, Akron, OH 44310-3110 | 2019-01-15 |
| 1699250217 | Glen Jamar Hunter | Nurse Anesthetist, Certified Registered | 444 N Main St, Akron, OH 44310-3110 | 2018-09-28 |
| 1457857658 | Ronald Douglas Sine Jr. | Registered Nurse | 444 N Main St, Akron, OH 44310 | 2018-04-05 |
| 1982102281 | Milanka Maric | Case Manager/Care Coordinator | 444 N Main St, Akron, OH 44310-3110 | 2018-02-01 |
| 1982144408 | Stephanie Goeden | Social Worker | 444 N Main St, Akron, OH 44310-3110 | 2017-03-02 |
| 1932648912 | Tamika Perkins | Counselor | 444 N Main St, Ambulatory Building, Suite 420, Akron, OH 44310-3110 | 2017-02-23 |
| 1346603214 | Colleen Trhlik | Counselor | 444 N Main St, Akron, OH 44310-3110 | 2016-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584085 | Michelle Lynn Lanning | Peer Specialist | 213 E. Glenwood Ave., Akron, OH 44310 | 2020-07-01 |
| 1376172759 | Blake Schach | Student in an Organized Health Care Education/Training Program | Orthopedic Clinic 444 N. Main St., 3rd Floor, Akron, OH 44310 | 2020-04-07 |
| 1528558137 | Nortisha Meco Brown-nelson | Social Worker | 1187 Linden Ave, Akron, OH 44310 | 2018-05-18 |
| 1114429123 | Sharon Denise Shell | Home Health Aide | 1307 Brownstone Ave, Akron, OH 44310 | 2018-03-06 |
| 1467961631 | A Door of Hope Center | Early Intervention Provider Agency | 311 Montrose Ave., Akron, OH 44310 | 2017-09-20 |
| 1750809570 | Laura Stover | Counselor | 445 N Main Street, Akron, OH 44310 | 2017-08-31 |
| 1083131817 | Heather Lynne Barger | Counselor | 15 Frederick Avenue, Akron, OH 44310 | 2017-08-23 |
| 1659898377 | Heidi Irene Sirotzki | Peer Specialist | 215 E. Glenwood Ave., Akron, OH 44310 | 2017-08-23 |
| 1013432939 | Veniece Harris | Licensed Practical Nurse | 1469 Alphada Ave, Apt D5, Akron, OH 44310 | 2017-08-11 |
| 1417493289 | Marcella Brooks | Counselor | 445 North Main Street, Akron, OH 44310 | 2017-01-17 |
| Find all providers in zip 44310 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436185 | Jermane L Belton | Community/Behavioral Health | 1007 E Crosier St, Akron, OH 44306-1538 | 2020-10-29 |
| 1295396075 | Safety Forces Support Center | Community/Behavioral Health | 501 W Market St Ste 313, Akron, OH 44303-1842 | 2019-06-24 |
| 1164913919 | Panacea Recovery Advocates & Wellness | Community/Behavioral Health | 1101 Portage Trail Ext Ste 3, Akron, OH 44313-8250 | 2018-05-27 |
| 1780199489 | Truly Reaching You Inc. | Community/Behavioral Health | 587 Baird St, Akron, OH 44311-1804 | 2017-12-05 |
| 1891209581 | F I Community Housing, Inc. | Community/Behavioral Health | 619 Johnston St, Akron, OH 44311-1856 | 2017-11-17 |
| 1366972978 | Tina Clark | Community/Behavioral Health | 2951 Albrecht Ave Apt 14, Akron, OH 44312-7406 | 2017-06-15 |
| 1073043782 | Community of Christ Church, Inc | Community/Behavioral Health | 834 Grant St, Akron, OH 44311-2136 | 2017-06-14 |
| 1568916922 | Akron Umadaop | Community/Behavioral Health | 665 W Market St, Akron, OH 44303-1438 | 2016-08-15 |
| 1306205752 | Safe Haven Partners LLC | Community/Behavioral Health | 1021 Chalker St, Akron, OH 44310-1313 | 2016-02-14 |
| 1376917195 | Live Change Grow Corporation | Community/Behavioral Health | 1440 Virginia Ave, Akron, OH 44306-3610 | 2015-11-17 |
| Find all providers in AKRON | ||||
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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.