Provider Demographics
NPI:1740723618
Name:DEAN, OLIVIA E (LICENSED ASSOCIATE)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:E
Last Name:DEAN
Suffix:
Gender:F
Credentials:LICENSED ASSOCIATE
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:E
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICENSED ASSOCIATE
Mailing Address - Street 1:PO BOX 9541
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-0026
Mailing Address - Country:US
Mailing Address - Phone:479-435-4207
Mailing Address - Fax:479-935-3180
Practice Address - Street 1:3623 JOHNSON MILL BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-6412
Practice Address - Country:US
Practice Address - Phone:497-435-4207
Practice Address - Fax:479-935-3180
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health