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General NPI Number Information
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NPI Number | 1518876200
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Entity Type | Organization
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Legal Business Name | OLIVE TREE COUNSELING AND CONSULTATION LLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 156 MILESTONE WAY STE C
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City | GREENVILLE
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State | SC
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Zip | 29615-5091
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Country | US
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Telephone | 864-881-2329
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Fax |
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Provider Business Mailing Address
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Address Line | 101 CREEKSIDE RD
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City | GREER
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State | SC
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Zip | 29650-3010
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Country | US
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Telephone | 864-414-8577
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JOHN KILGO III
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Credential | LPC
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Telephone | 864-414-8577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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