Stevens, Olivia Jayd

Stevens, Olivia Jayd is an sole proprietor health care provider with primary practice located at 124 Mallard St , Greenville SC 29601-4046. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Stevens, Olivia Jayd can be contacted via phone (864) 241-1040.

Contact Information

Primary practice address
124 Mallard St Greenville SC 29601-4046
Phone: (864) 241-1040
Fax: (864) 241-8189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 12195 South Carolina

Profile Details

NPI number 1225419088
LBN Legal business name Stevens, Olivia Jayd
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2015
Last updated Aug 30th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225419088 NPPES
South Carolina MEDICAID 301133

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