Provider Demographics
NPI:1407486699
Name:JONES, OLIVIA (LPCC)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:LIV
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC
Mailing Address - Street 1:1662 MARS AVE # 103
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-3825
Mailing Address - Country:US
Mailing Address - Phone:216-618-1798
Mailing Address - Fax:
Practice Address - Street 1:1662 MARS AVE # 103
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3825
Practice Address - Country:US
Practice Address - Phone:216-618-1798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-16
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2002464101Y00000X
OHE.2203237101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor