| Doctor Name: | OLIVIA ANDERSON |
| NPI Number: | 1023125945 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SW9710 |
| Business Practice Address: | 1835 Gilmore Ave Lakeland, FL - 338053017 |
| Business Phone Number: | 8635190575 |
| Business Fax Number: | 8635190728 |
| Mailing Address: | Po Box 1559, Peace River Center BARTOW |
| State: | FL |
| Postal Code: | 338311559 |
| Phone Number: | 8635790575 |
| Fax Number: | 8635190728 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 11/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | SW9710 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |