Provider Demographics
NPI:1609666023
Name:VENN, OLIVIA KAY
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:KAY
Last Name:VENN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W MARIETTA ST NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-5214
Mailing Address - Country:US
Mailing Address - Phone:318-229-2005
Mailing Address - Fax:
Practice Address - Street 1:800 W MARIETTA ST NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-5214
Practice Address - Country:US
Practice Address - Phone:318-229-2005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health