The Olive Branch Counseling Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE OLIVE BRANCH COUNSELING CENTER LLC

Practice address

549 1St St N Ste C
Alabaster, AL 35007-8755

Phone

(205) 259-8308

NPI assigned

Jun 11, 2022

Organization subpart

Yes

Parent organization

THE OLIVE BRANCH COUNSELING CENTERAs reported in NPPES

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

Authorized official

Name

Mrs. Erica Wilson, ME.D LPC NCCNPI 1912642422

Title

Therapist

Phone

(205) 259-8308

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Erica Wilson Other name

Electronic endpoints 1

Part of

The Olive Branch Counseling Center LLC

Locations

Practitioners 1

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

• Erica Wilson, M.ED., ALC., NCC

  • Mental Health Counselor
  • Alabaster, AL
  • NPI 1912642422
  NPD Authorized official

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654905600000",
    "number": "1558091785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 1ST ST N STE C",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078755",
            "telephone_number": "205-259-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 1ST ST N STE C",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078755",
            "telephone_number": "205-259-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OLIVE BRANCH COUNSELING CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE OLIVE BRANCH COUNSELING CENTER",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "205-259-8308",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ME.D LPC NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, CIGNA, VIVA",
            "identifier": "8590",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.theolivebranchcounselingcenter.com",
            "affiliation": "N",
            "endpointDescription": "Mental Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "549 1st St N Ste C",
            "city": "Alabaster",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350078755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Erica Wilson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Erica Wilson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Alabaster, AL
• Providers in Alabaster, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.