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Organization

OLIVE TREE 1 CARE

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
Legal business name
OLIVE TREE 1 CARE
Authorized official
JAVON CORY OLIVER LPC (CEO)
(202) 340-1953
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
207Q00000X
Family Medicine Physician
363LC1500X
Community Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021983047
DC
Enumeration date
11/29/2023
Last updated
10/20/2025
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