Organization
OLIVIA TESTA SOUL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA PEARL TESTA LCSW (THERAPIST)
(603) 520-1490
Entity
Organization
Contact information
Practice address
602 BRIGHTON AVE, PORTLAND, ME 04102-2324
(603) 520-1490
Mailing address
1 LENNOX ST UNIT A, PORTLAND, ME 04103-5513
(603) 520-1490
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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