Provider Demographics
NPI:1427930213
Name:OLIVO, DESIREE M (RMHCI)
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:M
Last Name:OLIVO
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 WESTHALL LN
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7203
Mailing Address - Country:US
Mailing Address - Phone:800-630-1002
Mailing Address - Fax:
Practice Address - Street 1:146 STRIKE EAGLE DR
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-2240
Practice Address - Country:US
Practice Address - Phone:407-202-2558
Practice Address - Fax:407-202-2558
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health