Healthcare Provider Details

I. General information

NPI: 1184551905
Provider Name (Legal Business Name): OLIVIA JAMES VAN DEN HEUVEL B.S., MSW STUDENT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12531 W STATE HIGHWAY 71 APT 1301
BEE CAVE TX
78738-6664
US

IV. Provider business mailing address

12531 W STATE HIGHWAY 71 APT 1301
BEE CAVE TX
78738-6664
US

V. Phone/Fax

Practice location:
  • Phone: 920-365-6440
  • Fax:
Mailing address:
  • Phone: 920-365-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: