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Organization
OLIVE 360 BEHAVIORAL HEALTH
Active
Organization
OLIVE 360 BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WILKINSON (PROVIDER)
(833) 378-2552
Entity
Organization
Contact information
Practice address
201 S BISCAYNE BLVD, MIAMI, FL 33131-4332
(833) 378-2552
Mailing address
117 SW 10TH ST # 101-257, MIAMI, FL 33130-3555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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