| Olive Tree Therapy & Wellness, Llc | |
|
107 Enterprise Path Ste 300 Hiram GA 30141-2690 | |
| (678) 361-5369 | |
| Not Available |
| Full Name | Olive Tree Therapy & Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 107 Enterprise Path Ste 300, Hiram, Georgia |
| Authorized Official Name and Position | Menyuan Jordan (OWNER/ PSYCHOTHERAPIST) |
| Authorized Official Contact | 6783615369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Tree Therapy & Wellness, Llc 107 Enterprise Path Ste 300 Hiram GA 30141-2690 Ph: (678) 361-5369 | Olive Tree Therapy & Wellness, Llc 107 Enterprise Path Ste 300 Hiram GA 30141-2690 Ph: (678) 361-5369 |
| NPI Number | 1558127365 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558127365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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