Walls, Olivia Marie
Walls, Olivia Marie is an sole proprietor health care provider with primary practice located at 4255 Pheasant Ridge Dr Ne Ste 412 , Blaine MN 55449-5066. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Walls, Olivia Marie can be contacted via phone (763) 703-3754.Contact Information
Primary practice address
4255 Pheasant Ridge Dr Ne Ste 412
Blaine MN 55449-5066
Phone: (763) 703-3754
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
NPI number | 1033722905 |
---|---|
LBN Legal business name | Walls, Olivia Marie |
Credentials | MA, LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 28th, 2020 |
Last updated | Aug 14th, 2023 - about 2 years 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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