Olivia Testa Soul Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OLIVIA TESTA SOUL WELLNESS LLC

Practice address

602 Brighton Ave
Portland, ME 04102-2324

Phone

(603) 520-1490

NPI assigned

Nov 19, 2021

Last updated

Nov 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olivia Pearl Testa, LCSWNPI 1720527914

Title

Therapist

Phone

(603) 520-1490

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olivia Testa, LCSW

  • Clinical Social Worker
  • Gray, ME
  • NPI 1720527914
  NPD Authorized official

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1316604879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LENNOX ST UNIT A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035513",
            "telephone_number": "603-520-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022324",
            "telephone_number": "603-520-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA TESTA SOUL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "TESTA",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "603-520-1490",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon Olesen, ATC
• Sahar Andrea Oliaei
• Sophia Oliveira
• Andrew Oliver, APRN-CRNA
• Tarja Oliver, AUD
• Vincent N Oliviero, M.D.
• Kyle L Olmstead, CRNA
• Molly Olmsted, MD
• Bridget Cecilia Olsen, MD, MPH
• Jerrold Olshan, M.D.

• Community/Behavioral Health Agency in Portland, ME
• Providers in Portland, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.