Healthcare Provider Details

I. General information

NPI: 1962300236
Provider Name (Legal Business Name): OLIVE GROVE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2026
Last Update Date: 10/27/2026
Certification Date: 10/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 OLD ORCHARD RD
CHERRY HILL NJ
08003-1212
US

IV. Provider business mailing address

103 OLD ORCHARD RD
CHERRY HILL NJ
08003-1212
US

V. Phone/Fax

Practice location:
  • Phone: 609-923-7950
  • Fax:
Mailing address:
  • Phone: 609-923-7950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNA MEADS
Title or Position: OWNER
Credential: LPC
Phone: 609-923-7950