| Oliveleaf | |
|
37 Maple St 144 Soap Lake WA 98851 | |
| (509) 361-4643 | |
| Not Available |
| Full Name | Oliveleaf |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 37 Maple St 144, Soap Lake, Washington |
| Authorized Official Name and Position | Tammy J Countryman (OWNER/LICSW) |
| Authorized Official Contact | 5302554761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oliveleaf Po Box 144 Soap Lake WA 98851-0144 Ph: (509) 361-4643 | Oliveleaf 37 Maple St 144 Soap Lake WA 98851 Ph: (509) 361-4643 |
| NPI Number | 1871421362 |
|---|---|
| Provider Enumeration Date | 05/13/2026 |
| Last Update Date | 06/01/2026 |
| Certification Date | 06/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871421362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Miller Relationship Center, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Ephrata Ave Nw, Soap Lake, WA 98851 Phone: 509-793-0717 |