Individual
DR. OLIVIA EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LCMHC QS
Contact information
Practice address
226 SW CHERRYHILL RD, PORT SAINT LUCIE, FL 34953-6234
(561) 401-3408
Mailing address
6010 BRUSSELS CT, WALKERTOWN, NC 27051-9546
(561) 401-3408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14719
NC
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
08/07/2018
Last updated
05/08/2026
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