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OLIVE BRANCH NUTRITION THERAPY LLC
NPI 1205598414
Clinic/Center - Health Service in Providence, RI

Active since October 06, 2021
20 MESSER ST # 4, PROVIDENCE, RI 02909(508) 688-0456 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Olive Branch Nutrition Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVE BRANCH NUTRITION THERAPY LLC (NPI 1205598414) is a healthcare organization registered as a health service in Providence, Rhode Island and active in the NPI registry since October 2021. The organization maintains a secondary practice location in Foxborough and lists Laila Shanaa, Owner, as its authorized official.

NPPES Registry Identity

NPI1205598414
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameOLIVE BRANCH NUTRITION THERAPY LLC
Location Address20 MESSER ST # 4Providence, RI 02909-2006
Mailing Address20 Messer St # 4Providence, RI 02909-2006 · (508) 688-0456
Phone(508) 688-0456
Organization SubpartNo
Authorized OfficialLaila ShanaaOwner · (508) 688-0456
Enumeration DateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1205598414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
20 MESSER ST # 4, Providence, RI 02909
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Secondary Practice Location 1

Location 121 Windsor DrFoxborough, MA 02035-2224 · Phone (508) 688-0456

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olive Branch Nutrition Therapy LLC's NPI number?

The NPI number for Olive Branch Nutrition Therapy LLC is 1205598414. It was assigned to this organization in the NPPES registry on October 6, 2021.

Where is Olive Branch Nutrition Therapy LLC located?

Olive Branch Nutrition Therapy LLC is located at 20 Messer St # 4, Providence, RI 02909. The listed phone number is (508) 688-0456.

What is Olive Branch Nutrition Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

What insurance does Olive Branch Nutrition Therapy LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Olive Branch Nutrition Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olive Branch Nutrition Therapy LLC was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.