Basic Information
Provider Information
NPI: 1457678922
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APPLING
FirstName: OLIVIA
MiddleName: B
NamePrefix:  
NameSuffix:  
Credential: LCAS, LMFT
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 451 N MAIN ST
Address2: SUITE 102
City: MARION
State: NC
PostalCode: 287523304
CountryCode: US
TelephoneNumber: 8286525444
FaxNumber: 8286525837
Practice Location
Address1: 617 S GREEN ST
Address2: SUITE 300
City: MORGANTON
State: NC
PostalCode: 286553517
CountryCode: US
TelephoneNumber: 8284373000
FaxNumber: 8284304384
Other Information
ProviderEnumerationDate: 04/23/2010
LastUpdateDate: 01/31/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YA0400X1555NCY Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
106H00000X1412NCN Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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