Olive Branch Counseling Pllc

LBN: Olive Branch Counseling Pllc
Olive Branch Counseling Pllc is an health care organization with primary practice located at 128 Ellsworth St , Crystal Lake IL 60014-4421. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Olive Branch Counseling Pllc can be contacted via phone (815) 307-4849, or through Ostrowski, Madysen Marie via phone (815) 307-4849.

Contact Information

Primary practice address
128 Ellsworth St Crystal Lake IL 60014-4421
Phone: (815) 307-4849
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ostrowski, Madysen Marie LCPC
Phone: (815) 307-4849

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1669142519
LBN Legal business name Olive Branch Counseling Pllc
DBA Doing business as
Authorized official Ostrowski, Madysen Marie LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2021
Last updated Sep 13th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669142519 NPPES
Illinois Other 180010920 LCPC/OWNER

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