# OLIVE & OAK WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paige Bogda, LMFT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407523764
- **Authorized official:** PAIGE FANOLIS LMFT (OWNER)
- **Authorized official phone:** (860) 334-7093

## Contact information

- **Practice address:** 1492 FLANDERS RD, SOUTHINGTON, CT 06489-1604
- **Practice address phone:** (860) 334-7093
- **Mailing address:** 360B QUEEN ST \# 175, SOUTHINGTON, CT 06489-1871
- **Mailing address phone:** (860) 334-7093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2021
- **Last updated:** 08/25/2021