Organization
OLIVE TREE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA ROCHA LMFT (OWNER)
(702) 907-5410
Entity
Organization
Contact information
Practice address
8910 MOSSY HOLLOW AVE, LAS VEGAS, NV 89149-2961
(702) 907-5410
Mailing address
6440 SKY POINTE DR # 140-498, LAS VEGAS, NV 89131-4047
(702) 907-5410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568084952
—
NV
Enumeration date
07/10/2023
Last updated
07/10/2023
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