Healthcare Provider Details

I. General information

NPI: 1720907371
Provider Name (Legal Business Name): OLIVE TREE COUNSELING AND MEDIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 KEMPSVILLE RD # 65515
VIRGINIA BEACH VA
23464-5948
US

IV. Provider business mailing address

1225 KEMPSVILLE RD # 65515
VIRGINIA BEACH VA
23464-5948
US

V. Phone/Fax

Practice location:
  • Phone: 757-322-7449
  • Fax:
Mailing address:
  • Phone: 757-322-7449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RACHELLE DUNN
Title or Position: OWNER
Credential: LPC
Phone: 757-322-7449