Healthcare Provider Details

I. General information

NPI: 1497679617
Provider Name (Legal Business Name): OLIVIA GORDON-TOMLINSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1627 E NORTH ST
GREENVILLE SC
29607-1361
US

IV. Provider business mailing address

8 RAIN FLOWER DR
GREENVILLE SC
29615-6729
US

V. Phone/Fax

Practice location:
  • Phone: 864-778-2473
  • Fax: 864-469-5688
Mailing address:
  • Phone: 864-778-2473
  • Fax: 864-469-5688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12413
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: