Overflow Christian Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

OVERFLOW CHRISTIAN COUNSELING, LLC

Practice address

1 W Firestorm Way BLDG 2100
Glendale, AZ 85306-3216

Phone

(607) 221-2032

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Melissa Ann Ingraham, LPC, NCCNPI 1043670482

Title

Owner

Phone

(607) 221-2032

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Ann Ingraham, LPC, LMHC

  • Professional Counselor
  • Glendale, AZ
  • NPI 1043670482
  NPD Authorized official

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1447966130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W UNION HILLS DR.",
            "address_2": "SUITE 7 - #283",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "607-221-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W FIRESTORM WAY BLDG 2100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063216",
            "telephone_number": "607-221-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERFLOW CHRISTIAN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "INGRAHAM",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-221-2032",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Family Healthcare
• Our Loving Hands LLC
• Our Way Wellness
• Nicole Lynn Outlaw, LAC
• Aime Ovalle, COTA/L
• Amanda Owens, PT, DPT
• Jewel Owens, LCSW
• Natasha Owens
• Loribeth Oxford Newman
• Adebowale Oluwole Oyelakin, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.