# OLIVE TREE 1 CARE

> 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
- **Parent organization:** OLIVE TREE 1 CARE
- **Other names:** The Olive Tree 1 Care, Olive Tree 1 Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962278069
- **Legal business name:** OLIVE TREE 1 CARE
- **Authorized official:** JAVON CORY OLIVER LPC (CEO)
- **Authorized official phone:** (202) 340-1953

## Contact information

- **Practice address:** 418 SHEPHERD ST NW, WASHINGTON, DC 20011-5944
- **Practice address phone:** (202) 340-1953
- **Mailing address:** 8418 THORNBERRY DR E, UPPER MARLBORO, MD 20772-5061
- **Mailing address phone:** (202) 340-1953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363LC1500X | Community Health Nurse Practitioner | — | NULL | — |
| 363LC1500X | Community Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/29/2023
- **Last updated:** 10/20/2025
