Olive Branch Wellness Center

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

OLIVE BRANCH WELLNESS CENTER

Practice address

4144 N. Armenia Ave
Suite 350
Tampa, FL 33607

Phone

(813) 522-1690

NPI assigned

May 30, 2019

Organization subpart

No

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

Authorized official

Name

Evelyn L Felton

Title

Owner

Phone

(813) 522-1690

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1235797887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N. ARMENIA AVE",
            "address_2": "SUITE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N. ARMENIA AVE",
            "address_2": "SUITE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-522-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "FELTON",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-522-1690"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "IMH16103",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "olivebranchwellnesscenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "4144 N. Armenia Ave",
            "address_2": "Suite 350",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandra Saxon Oliva
• Isela Oliva
• Raquel Oliva, LMT
• Katherine S Olivares, RBT
• Olive Branch Health and Wellness LLC
• Jacqueline Michele Olive, PA-S2, MPAM
• Michaela Olive
• Guilherme H Oliveira, MD
• Carina Oliver
• Cassidy Marie Oliver, PHARM.D.

• Counseling Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.