Provider Demographics
NPI:1649902552
Name:RASHED, OLIVIA RAE
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:RAE
Last Name:RASHED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 S 93RD ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53228-1615
Mailing Address - Country:US
Mailing Address - Phone:414-333-0730
Mailing Address - Fax:
Practice Address - Street 1:14755 W CAPITOL DR STE 100
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-2318
Practice Address - Country:US
Practice Address - Phone:414-292-4242
Practice Address - Fax:414-292-4182
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional