Olive Tree Family Counseling, Pllc | |
110 Plantation Creek Dr Vanceboro NC 28586-9246 | |
(252) 514-1635 | |
Not Available |
Full Name | Olive Tree Family Counseling, Pllc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 110 Plantation Creek Dr, Vanceboro, North Carolina |
Authorized Official Name and Position | R. David Morrow (CEO/CLINICAL DIRECTOR) |
Authorized Official Contact | 2525141635 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Olive Tree Family Counseling, Pllc 110 Plantation Creek Dr Vanceboro NC 28586-9246 Ph: (252) 514-1635 | Olive Tree Family Counseling, Pllc 110 Plantation Creek Dr Vanceboro NC 28586-9246 Ph: (252) 514-1635 |
NPI Number | 1922693977 |
---|---|
Provider Enumeration Date | 03/02/2021 |
Last Update Date | 03/02/2021 |
Certification Date | 03/02/2021 |
Medicare PECOS PAC ID | 3274979612 |
---|---|
Medicare Enrollment ID | O20240307004289 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922693977 | NPI | - | NPPES |
6105206 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | R Morrow |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1962674275 PECOS PAC ID: 5193804201 Enrollment ID: I20240307004316 |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 James Street, Vanceboro, NC 28586 Phone: 252-244-0048 Fax: 252-244-6889 | |
Prophet's House Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7917 Main Street, Vanceboro, NC 28586 Phone: 252-244-0040 |