Individual provider · Type 1 NPI

Olivia Ann Matthes Theriault

Mental Health Counselor · Brooklyn, NY

NPI number 1174495956 Active

Practice location

565 Livonia Ave
Brooklyn, NY 11207-5209

Call (718) 346-3470 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP135512 (NY)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1174495956

Olivia Ann Matthes Theriault's National Provider Identifier is 1174495956, issued on Sep 22, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 22, 2025.