Provider Demographics
NPI:1710475892
Name:OLIVA, CHELSEA (LHMC, MCAP)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:OLIVA
Suffix:
Gender:F
Credentials:LHMC, MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7225 N NEBRASKA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-4916
Mailing Address - Country:US
Mailing Address - Phone:689-710-6433
Mailing Address - Fax:
Practice Address - Street 1:216 NE 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6654
Practice Address - Country:US
Practice Address - Phone:352-732-6565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14986101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health