Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olive Branch Nutrition Therapy LLC

Organization Health Service Clinic/Center · NPI 1205598414

Olive Branch Nutrition Therapy LLC is a Health Service Clinic/Center in Providence, Rhode Island. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Messer St # 4
Providence, RI 02909-2006
Phone: (508) 688-0456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21 Windsor Dr, Foxborough, MA 02035-2224 — (508) 688-0456

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1205598414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laila Shanaa — Owner · (508) 688-0456
NPI enumeratedOctober 6, 2021
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021
Mailing address20 Messer St # 4, Providence, RI 02909-2006

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