Provider Demographics
NPI:1538933999
Name:OLLENDICK COUNSELING LLC
Entity type:Organization
Organization Name:OLLENDICK COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:L
Authorized Official - Last Name:OLLENDICK
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:563-590-5998
Mailing Address - Street 1:805 CENTURY DR STE 5
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-3771
Mailing Address - Country:US
Mailing Address - Phone:563-590-5998
Mailing Address - Fax:563-726-7384
Practice Address - Street 1:805 CENTURY DR STE 5
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-3771
Practice Address - Country:US
Practice Address - Phone:563-590-5998
Practice Address - Fax:563-726-7384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty