MEDICARE: OLIVIA SEARS LGPC

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	101YM0800X	Mental Health Counselor	LGP16147	MD

General Provider Information

NPI Number	:	1831904754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA SEARS LGPC

Provider Business Mailing Address
First Line	:	5740 EXECUTIVE DR STE 108
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-1331
Country	:	US
Telephone Number	:	443-851-8214
Fax Number	:

Provider Business Practice Location Address
First Line	:	5740 EXECUTIVE DR STE 108
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-1331
Country	:	US
Telephone Number	:	443-851-8214
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	03/06/2025

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Directions to “ OLIVIA SEARS LGPC” Practice Location

Language	Start Address	Practice Location

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