Olive Branch Ministry

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OLIVE BRANCH MINISTRY

Practice address

2505 Court Drive
Gastonia, NC 28054

Phone

(828) 291-7023

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Michelle Lea Mathis

Title

Executive Director

Phone

(828) 291-7023

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1255801825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286018089",
            "telephone_number": "828-291-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 COURT DRIVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "828-291-7023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 N Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281503898",
            "country_code": "US",
            "telephone_number": "828-291-7023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3730 N Center St",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286018089",
            "country_code": "US",
            "telephone_number": "828-291-7023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVE BRANCH MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-291-7023"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle@olivebranchministry.org",
            "affiliation": "N",
            "endpointDescription": "corporate email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3730 N Center St",
            "city": "Hickory",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286018089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracee S Okoduwa, OT
• Cornelius S Okonkwo, DO
• Sunny Okoroji, MD,DDS,PA
• Danika Okpaleke, PA-C
• Megan Takaye Okuda, PA-C
• Ivelisse Olivencia-Simmons, NP
• Anne Oliver, C.F.M.
• Kevin Paul Oliver, MA, MPA, LCAS
• Shania Shyvonne Oliver, LCMHC-A, LCAS-A
• Stephany Elizabeth Olsheski

• Community/Behavioral Health Agency in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.