| Olive Counseling Llc | |
|
1700 66th St N # 104-312 St Petersburg FL 33710-5544 | |
| (312) 883-4077 | |
| Not Available |
| Full Name | Olive Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1700 66th St N # 104-312, St Petersburg, Florida |
| Authorized Official Name and Position | Jacob Santhouse (CEO) |
| Authorized Official Contact | 3128834077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Counseling Llc 9978 57th Ave N St Petersburg FL 33708-3428 Ph: (312) 883-4077 | Olive Counseling Llc 1700 66th St N # 104-312 St Petersburg FL 33710-5544 Ph: (312) 883-4077 |
| NPI Number | 1982208773 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 04/25/2025 |
| Certification Date | 04/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982208773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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