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General NPI Number Information
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NPI Number | 1689530081
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Entity Type | Organization
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Legal Business Name | OLIVE AND CLAY COUNSELING, PLLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 18135 HARLEM AVE
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City | TINLEY PARK
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State | IL
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Zip | 60477-4327
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Country | US
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Telephone | 708-860-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 7146 183RD ST STE 216
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City | TINLEY PARK
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State | IL
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Zip | 60477-3933
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Country | US
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Telephone | 708-860-1560
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JANINE-SARA ALI SHALASH
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Credential | LCPC
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Telephone | 708-860-1560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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