Provider Demographics
NPI:1225261043
Name:OLIVE, THOMAS M JR (LMHC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:M
Last Name:OLIVE
Suffix:JR
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 UNION ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2905
Mailing Address - Country:US
Mailing Address - Phone:518-374-6263
Mailing Address - Fax:518-374-1778
Practice Address - Street 1:1311 UNION ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2905
Practice Address - Country:US
Practice Address - Phone:518-374-6263
Practice Address - Fax:518-374-1778
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor