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

Olive Bear Blackwood, LMFTA

Individual provider Mental Health Counselor · NPI 1891550315

Olive Bear Blackwood, LMFTA is a Mental Health Counselor in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
Specialties on file
5

Practice location Address checks out

811 Central Ave
Charlotte, NC 28204-2032
Phone: (980) 236-0734
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 10427A (NC)
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Adult Development & Aging Psychologist Taxonomy 103TA0700X
Family Psychologist Taxonomy 103TF0000X

Record details

NPI number1891550315
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFTA
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

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