| Olive Branch Counseling | |
|
2712 Middleburg Dr Ste 207b Columbia SC 29204-2445 | |
| (803) 546-3504 | |
| (803) 653-3376 |
| Full Name | Olive Branch Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2712 Middleburg Dr Ste 207b, Columbia, South Carolina |
| Authorized Official Name and Position | Lauren Marie Rosinski (THERAPIST/SOLE PROP) |
| Authorized Official Contact | 8035637550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Counseling 106 Carlyle Cir Columbia SC 29206-3145 Ph: (803) 563-7550 | Olive Branch Counseling 2712 Middleburg Dr Ste 207b Columbia SC 29204-2445 Ph: (803) 546-3504 |
| NPI Number | 1134824311 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Medicare PECOS PAC ID | 2062879935 |
|---|---|
| Medicare Enrollment ID | O20230608000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134824311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lauren Marie Rosinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508134859 PECOS PAC ID: 3870950744 Enrollment ID: I20230608000282 |
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