# OLIVE 360 BEHAVIORAL HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891495636
- **Authorized official:** LISA WILKINSON (PROVIDER)
- **Authorized official phone:** (833) 378-2552

## Contact information

- **Practice address:** 201 S BISCAYNE BLVD, MIAMI, FL 33131-4332
- **Practice address phone:** (833) 378-2552
- **Mailing address:** 117 SW 10TH ST \# 101-257, MIAMI, FL 33130-3555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/09/2023
- **Last updated:** 03/09/2023