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Organization
OLIVE 360 BEHAVIORAL HEALTH OF CHARLOTTE
Active
Organization
OLIVE 360 BEHAVIORAL HEALTH OF CHARLOTTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WILKINSON (MEMBER)
(833) 378-2552
Entity
Organization
Contact information
Practice address
525 S CHURCH ST APT 1905, CHARLOTTE, NC 28202-3321
(833) 378-2552
Mailing address
525 S CHURCH ST APT 1905, CHARLOTTE, NC 28202-3321
(833) 378-2552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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