Organization
OLIVE TREE COUNSELING LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY ERVIN THOMASON JR. LPC (CO-OWNER)
(903) 336-3484
Entity
Organization
Contact information
Practice address
300 N. STATELINE AVENUE, TEXARKANA, AR 71854
(903) 336-3484
(903) 336-3484
Mailing address
3930 GALLERIA OAKS, TEXARKANA, TX 75503
(903) 336-3484
(903) 336-3484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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