Provider Demographics
NPI:1477174464
Name:OLIVER'S CONTRACTING, CONSULTING, & COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:OLIVER'S CONTRACTING, CONSULTING, & COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:OLIVER
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCS, LCAS, DMIN
Authorized Official - Phone:704-576-5408
Mailing Address - Street 1:4108 PARK RD STE 408
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2262
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4108 PARK RD STE 408
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-2262
Practice Address - Country:US
Practice Address - Phone:704-576-5408
Practice Address - Fax:980-498-7005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty