Organization
OLIVE TREE 1 CARE OF MARYLAND
Active
Parent organization
OLIVE TREE 1 CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLIVE TREE 1 CARE
Authorized official
JAVON CORY OLIVER LPC (CEO)
(202) 340-1953
Entity
Organization
Contact information
Practice address
8418 THORNBERRY DR E, UPPER MARLBORO, MD 20772-5061
(202) 340-1953
Mailing address
8418 THORNBERRY DR E, UPPER MARLBORO, MD 20772-5061
(202) 340-1953
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WC0200X
Critical Care Medicine Registered Nurse
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021983047
—
DC
05
—
642010900
—
MD
Enumeration date
03/22/2024
Last updated
10/08/2025
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