| Ms Jaime Tavonia Olidge, LPC-A | |
|
2911 A W Grimes Blvd Ste 330, Pflugerville, TX 78660-1979 | |
| (617) 379-0496 | |
| Not Available |
| Full Name | Ms Jaime Tavonia Olidge |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2911 A W Grimes Blvd Ste 330, Pflugerville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699098723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 88323 (Texas) | Primary |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210706003672 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jaime Tavonia Olidge, LPC-A 2911 A W Grimes Blvd Ste 330, Pflugerville, TX 78660-1979 Ph: (617) 379-0496 | Ms Jaime Tavonia Olidge, LPC-A 2911 A W Grimes Blvd Ste 330, Pflugerville, TX 78660-1979 Ph: (617) 379-0496 |
Mr. Ty Christopher Landry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15512 Miss Adriennes Path, Pflugerville, TX 78660 Phone: 512-252-7835 | |
Leah Elbaum, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18609 Dry Pond Dr, Pflugerville, TX 78660 Phone: 512-270-1918 | |
Whitney Bradley, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2911 A W Grimes Blvd Ste 330, Pflugerville, TX 78660 Phone: 512-883-7112 | |
Jayme Nichols, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3805 Raven Caw Pass, Pflugerville, TX 78660 Phone: 512-729-9085 | |
Melissa Lorraine Wren, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2911 A W Grimes Blvd Ste 330, Pflugerville, TX 78660 Phone: 855-284-7483 Fax: 617-807-0958 | |
Kevin Overton-hadnot, LPC-ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 908 Sawbuck Dr, Pflugerville, TX 78660 Phone: 512-751-8427 | |
Silvia F Covarrubias, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20417 Jackies Ranch Blvd, Pflugerville, TX 78660 Phone: 512-792-1157 |