| Olive Tree Counseling Llp | |
|
300 N. Stateline Avenue Texarkana AR 71854 | |
| (903) 336-3484 | |
| (903) 336-3484 |
| Full Name | Olive Tree Counseling Llp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 300 N. Stateline Avenue, Texarkana, Arkansas |
| Authorized Official Name and Position | Randy Ervin Thomason (CO-OWNER) |
| Authorized Official Contact | 9033363484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Tree Counseling Llp 3930 Galleria Oaks Texarkana TX 75503 Ph: (903) 336-3484 | Olive Tree Counseling Llp 300 N. Stateline Avenue Texarkana AR 71854 Ph: (903) 336-3484 |
| NPI Number | 1063092716 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 04/08/2021 |
| Certification Date | 04/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063092716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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