Provider Demographics
NPI:1548844368
Name:OLIVE & OAK THERAPY, LLC
Entity type:Organization
Organization Name:OLIVE & OAK THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:MOST
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:989-259-8126
Mailing Address - Street 1:112 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2326
Mailing Address - Country:US
Mailing Address - Phone:989-259-8126
Mailing Address - Fax:888-496-0170
Practice Address - Street 1:112 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2326
Practice Address - Country:US
Practice Address - Phone:989-259-8126
Practice Address - Fax:888-496-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)