| Therapy By Olivo | |
|
328 Cork Way Davenport FL 33897-7331 | |
| (914) 308-5747 | |
| Not Available |
| Full Name | Therapy By Olivo |
|---|---|
| Speciality | Counselor |
| Location | 328 Cork Way, Davenport, Florida |
| Authorized Official Name and Position | Evelyn Olivo (OWNER) |
| Authorized Official Contact | 9143085747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy By Olivo 328 Cork Way Davenport FL 33897-7331 Ph: () - | Therapy By Olivo 328 Cork Way Davenport FL 33897-7331 Ph: (914) 308-5747 |
| NPI Number | 1740043454 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 7315381001 |
|---|---|
| Medicare Enrollment ID | O20240221002520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740043454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Evelyn Olivo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891293049 PECOS PAC ID: 6305280090 Enrollment ID: I20240221002631 |
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