Organization
THE OLIVE BRANCH COUNSELING CENTER LLC
Active
Parent organization
THE OLIVE BRANCH COUNSELING CENTER
Other names
Erica Wilson, Erica Wilson
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE OLIVE BRANCH COUNSELING CENTER
Authorized official
MRS. ERICA WILSON ME.D LPC NCC (THERAPIST)
(205) 259-8308
Entity
Organization
Contact information
Practice address
549 1ST ST N STE C, ALABASTER, AL 35007-8755
(205) 259-8308
Mailing address
549 1ST ST N STE C, ALABASTER, AL 35007-8755
(205) 259-8308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8590
BCBS, CIGNA, VIVA
AL
Enumeration date
06/11/2022
Last updated
06/11/2022
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