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Olive Counseling LLC

Counselor, Professional in St Petersburg, FL. Organization (NPI-2).

NPI number1982208773
StatusActive
Last updated in NPPESApr 25, 2025

Details

NPI
1982208773
Entity type
Organization (NPI-2)
Legal business name
Olive Counseling LLC
Organization subpart
No
Enumeration date
Nov 23, 2020
Certification date
Apr 25, 2025
Last updated
Apr 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

1700 66th St N # 104-312
St Petersburg, FL 33710-5544

Phone 312-883-4077

Mailing address

9978 57th Ave N
St Petersburg, FL 33708-3428

Phone 312-883-4077

Other practice locations

824 17th Ave S Ste 7
Nampa, ID 83651-4781

Phone 312-883-4077 · Fax 208-697-5208

Authorized official

Jacob Santhouse
Ceo
3128834077

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