Provider Demographics
NPI:1962268037
Name:OLIVA COUNSELING
Entity type:Organization
Organization Name:OLIVA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STURDY OLIVA
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:312-502-5899
Mailing Address - Street 1:1716 OTOE ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-4657
Mailing Address - Country:US
Mailing Address - Phone:312-502-5899
Mailing Address - Fax:
Practice Address - Street 1:301 S 70TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2469
Practice Address - Country:US
Practice Address - Phone:312-502-5899
Practice Address - Fax:402-702-1531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health