# OLIVE BRANCH COUNSELING, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063059418
- **Authorized official:** LORRIE WILSON LPC (OWNER)
- **Authorized official phone:** (910) 990-1119

## Contact information

- **Practice address:** 4018 OLEANDER DR STE 103, WILMINGTON, NC 28403-6812
- **Practice address phone:** (910) 782-9505
- **Mailing address:** 3413 TANSEY CLOSE DR, WILMINGTON, NC 28409-3690
- **Mailing address phone:** (910) 990-1119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2019
- **Last updated:** 12/04/2019