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OLIVE BRANCH WAY PLLC
NPI 1972479137
Clinic/Center in Jacksonville, FL

Active since October 15, 2025
245 RIVERSIDE AVE STE 100, JACKSONVILLE, FL 32202(904) 575-0628(904) 506-1326 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Olive Branch Way Pllc NPPES

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

OLIVE BRANCH WAY PLLC (NPI 1972479137) is a healthcare organization registered as a clinic/center in Jacksonville, Florida and active in the NPI registry since October 2025. The organization lists Sherekia Hales, Owner, as its authorized official.

NPPES Registry Identity

NPI1972479137
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOLIVE BRANCH WAY PLLC
Location Address245 RIVERSIDE AVE STE 100Jacksonville, FL 32202-4930
Mailing Address5501 Wesconnett Blvd Unit 14846Jacksonville, FL 32238-7769 · (904) 575-0628 · Fax (904) 506-1326
Phone(904) 575-0628
Fax(904) 506-1326
Organization SubpartNo
Authorized OfficialSherekia HalesOwner · (904) 710-0398
Enumeration DateOctober 15, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1972479137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
245 RIVERSIDE AVE STE 100, Jacksonville, FL 32202
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE PETER PROJECT INC.
Community/Behavioral Health
245 RIVERSIDE AVE STE 100
JACKSONVILLE, FL 32202
Duval County (904) 274-0772
ACARE PROVIDER SERVICES
In Home Supportive Care
245 RIVERSIDE AVE STE 100
JACKSONVILLE, FL 32202
Duval County (888) 528-7670
KARLENE DYCE RCSWI
Social Worker (Clinical)
245 RIVERSIDE AVE STE 100
JACKSONVILLE, FL 32202
Duval County (904) 323-6801
CHARMESIA E FRESHWATER
Adult Companion
245 RIVERSIDE AVE STE 100
JACKSONVILLE, FL 32202
Duval County (904) 300-7578
MR. BRONDRICK LINNEAR RMFTI
Marriage & Family Therapist
245 RIVERSIDE AVE STE 100
JACKSONVILLE, FL 32202
Duval County (904) 403-3030

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 Way PLLC's NPI number?

The NPI number for Olive Branch Way PLLC is 1972479137. It was assigned to this organization in the NPPES registry on October 15, 2025.

Where is Olive Branch Way PLLC located?

Olive Branch Way PLLC is located at 245 Riverside Ave Ste 100, Jacksonville, FL 32202. The listed phone number is (904) 575-0628.

What is Olive Branch Way PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Olive Branch Way PLLC was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.