Olive Branch Therapy and Family Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

OLIVE BRANCH THERAPY AND FAMILY SERVICES LLC

Practice address

4369 S Howell Ave Ste 305
Milwaukee, WI 53207-5055

Phone

(414) 465-8317

Fax

(141) 443-3445

NPI assigned

Nov 1, 2020

Last updated

Nov 1, 2020By 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

Priscilla C Haynes, LPCNPI 1487130829

Title

Licensed Professional Counselor

Phone

(414) 429-8603

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, and the practitioner matching its NPPES authorized official.

• Priscilla Cheree Haynes, LPC

  • Professional Counselor
  • Milwaukee, WI
  • NPI 1487130829
  NPD Authorized official

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604188800000",
    "number": "1811597420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 N 58TH BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162848",
            "telephone_number": "414-429-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 S HOWELL AVE STE 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532075055",
            "telephone_number": "414-465-8317",
            "fax_number": "141-443-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH THERAPY AND FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "414-429-8603",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Michelle Olex, PSYD
• Carly Olin, RDN
• Cecilia Claire Olin, PHD
• Elizabeth Anne Olinger, OTR
• Tammy T Oliphant
• Linsey Kate Oliver, MS
• Merida Oliver
• Valerie Oliver, CNM, APNP
• Salina Olivo, MS CF-SLP
• Emily A Ollerman, NP

• Professional Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.