Provider Demographics
NPI:1982672945
Name:OLIVER, LORRAINE A (MED, LPCC)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:A
Last Name:OLIVER
Suffix:
Gender:F
Credentials:MED, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 STEUBENVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-2401
Mailing Address - Country:US
Mailing Address - Phone:740-439-4532
Mailing Address - Fax:740-439-1031
Practice Address - Street 1:1009 STEUBENVILLE AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-2401
Practice Address - Country:US
Practice Address - Phone:740-439-4532
Practice Address - Fax:740-439-1031
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2727101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3732OtherFEI BH PIN
OH142268OtherCIGNA PIN
OH260393000OtherMAGELLAN PIN
OHY554432OtherTHE HEALTH PLAN PIN
OH7236171OtherAETNA PIN
OH0180372Medicaid
OH201592OtherTRICARE/MHN PIN
OH183001OtherMOUNT CARMEL
OH6260782OtherUBH PIN
OH000000218886OtherANTHEM PIN