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NPI Code Detail

MEDICARE: THE OLIVE TREE COUNSELING AND SUPERVISION

MEDICARE: THE OLIVE TREE COUNSELING AND SUPERVISION
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
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11114160777OTHERNPI

General Provider Information

NPI Number : 1598381956
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE OLIVE TREE COUNSELING AND SUPERVISION
Provider Business Mailing Address
First Line : 12262 QUEENSTON BLVD STE E
Second Line :
City : HOUSTON
State : TX
Zip : 77095-5361
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12262 QUEENSTON BLVD STE E
Second Line :
City : HOUSTON
State : TX
Zip : 77095-5361
Country : US
Telephone Number : 281-743-3468
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KRISTIN CARPENTER
Credential : LCSW-S
Telephone Number : 281-743-3468
Provider Enumeration Date : 06/22/2020
Last Update Date : 06/22/2020

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Directions to “THE OLIVE TREE COUNSELING AND SUPERVISION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.