MEDICARE: THE VIOLET OLIVE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1316899040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE VIOLET OLIVE LLC

Provider Business Mailing Address
First Line	:	700 ROCKMEAD DR STE 246
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-2106
Country	:	US
Telephone Number	:	346-234-6323
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 ROCKMEAD DR STE 246
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-2106
Country	:	US
Telephone Number	:	346-234-6323
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR, SUPERVISOR
Name	:	LACY DYKE
Credential	:	M.MFT, LPC-S
Telephone Number	:	512-363-0575

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “THE VIOLET OLIVE LLC ” Practice Location

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