Provider Demographics
NPI:1821495847
Name:OLIVIA ESCHMANN
Entity Type:Organization
Organization Name:OLIVIA ESCHMANN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE COORDINATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:ESCHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LLBSW
Authorized Official - Phone:586-216-0688
Mailing Address - Street 1:22455 BOULDER AVE
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021
Mailing Address - Country:US
Mailing Address - Phone:586-216-0688
Mailing Address - Fax:
Practice Address - Street 1:22455 BOULDER AVE
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-2305
Practice Address - Country:US
Practice Address - Phone:586-216-0688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health