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OLIVE TREE FAMILY COUNSELING PLLC NPI 1922693977


NPI Information

NPI: 1922693977
Provider Name: OLIVE TREE FAMILY COUNSELING, PLLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
110 PLANTATION CREEK DR
VANCEBORO, NC
ZIP 28586
Phone: (252) 514-1635
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OLIVE TREE FAMILY COUNSELING, PLLC is a marriage family therapist in Vanceboro, NC. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. OLIVE TREE FAMILY COUNSELING, PLLC NPI is 1922693977. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 PLANTATION CREEK DR
VANCEBORO, NC
ZIP 28586-246
Phone: (252) 514-1635

The provider's authorized official is R. David Morrow .
The authorized official title is Ceo/clinical Director and has the following contact phone number (252) 514-1635.

The enumeration date for this NPI number is 3/2/2021 and was last updated on 3/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16105206MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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