Organization
OLIVE BRANCH FAMILY THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LAWSON MACHADO WORKMAN LMFT (THERAPIST/OWNER)
(919) 428-7746
Entity
Organization
Contact information
Practice address
201 HOLLY SPRINGS RD, HOLLY SPRINGS, NC 27540-9023
(919) 428-7746
(919) 800-3949
Mailing address
201 HOLLY SPRINGS RD, HOLLY SPRINGS, NC 27540-9023
(919) 428-7746
(919) 800-3949
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1922
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255883385
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
NC
01
—
4541161060000
CIGNA
NC
Enumeration date
04/25/2018
Last updated
09/29/2020
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