Olive Branch Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OLIVE BRANCH BEHAVIORAL HEALTH LLC

Practice address

6243 Big Sandy Dr
Raleigh, NC 27616-5798

Phone

(919) 758-3082

Fax

(225) 590-3324

NPI assigned

Sep 10, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Marie Laurent, LCSW

Title

Ceo

Phone

(919) 758-3082

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1902231871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6243 BIG SANDY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165798",
            "telephone_number": "919-758-3082",
            "fax_number": "225-590-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6243 BIG SANDY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165798",
            "telephone_number": "919-758-3082",
            "fax_number": "225-590-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "LAURENT",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-758-3082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baliqis Olawale-Moore, LCSWA
• Maura Elizabeth Olcese, MD
• Jennifer Bass Oldham, SLP
• Nicholas Edwin Oleson
• Kimberlyn Oliva
• Greice Oliveira, D.D.S., M.S.
• Oliver Enterprise LLC
• Bianca G Oliver, OD
• Colleen Oliver
• Corey Oliver

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, 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 10, 2013; 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.