Blackwood, Olive Bear

Blackwood, Olive Bear is an individual health care provider with primary practice located at 811 Central Ave , Charlotte NC 28204-2032. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Blackwood, Olive Bear can be contacted via phone (980) 236-0734.

Contact Information

Primary practice address
811 Central Ave Charlotte NC 28204-2032
Phone: (980) 236-0734
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X North Carolina

Profile Details

NPI number 1891550315
LBN Legal business name Blackwood, Olive Bear
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2024
Last updated Feb 14th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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