Organization Active NPI

Olive Branch Behavioral Health Network LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
National Provider Identifier
1063324119
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OLIVE BRANCH BEHAVIORAL HEALTH NETWORK LLC
Practice address
4123 Caroline Ave
Toledo, OH 43612-1923
Phone
(419) 376-3021
NPI assigned
Sep 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Alfred Darnell Gardner II
Title
Ceo/Cfo
Phone
(419) 376-3021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4123 Caroline Ave
Toledo, OH 43612-1923

Mailing address

4123 Caroline Ave
Toledo, OH 43612-1923
Phone (419) 376-3021

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1063324119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 CAROLINE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121923",
            "telephone_number": "419-376-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 CAROLINE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121923",
            "telephone_number": "419-376-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH BEHAVIORAL HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "DARNELL",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "419-376-3021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.