Provider Demographics
NPI:1093346405
Name:OLI AND ALI FAMILY SERVICES INC
Entity Type:Organization
Organization Name:OLI AND ALI FAMILY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-313-9413
Mailing Address - Street 1:2939 SE BELLA RD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-6333
Mailing Address - Country:US
Mailing Address - Phone:561-313-9413
Mailing Address - Fax:
Practice Address - Street 1:2939 SE BELLA RD
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-6333
Practice Address - Country:US
Practice Address - Phone:561-313-9413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities