Organization
OLIVE BRANCHES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN MEEK LCMFT (OWNER)
(620) 515-1907
Entity
Organization
Contact information
Practice address
509 MAPLE ST, COFFEYVILLE, KS 67337-4814
(620) 515-1907
(620) 222-9316
Mailing address
PO BOX 1, COFFEYVILLE, KS 67337-0001
(620) 515-1907
(620) 222-9316
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2773
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201085500A
—
KS
Enumeration date
05/23/2018
Last updated
07/15/2024
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