PROF. OLLIS CARVER JR. LPCC
NPI 1689312365
Counselor - Professional in Benicia, CA
Active since May 23, 2022
About Prof. Ollis Carver Jr. Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROF. OLLIS CARVER JR. LPCC (NPI 1689312365) is an individual professional provider in Benicia, California, licensed in California (LPCC-7370) and active in the NPI registry since May 2022.
NPPES Registry Identity
NPI1689312365
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePROF. OLLIS CARVER JR.Credential: LPCC
Location Address1100 ROSE DR STE 224Benicia, CA 94510-3618
Mailing AddressPo Box 6691Vallejo, CA 94591-1691 · (707) 642-5139 · Fax (707) 641-1104
Phone(707) 642-5139
Fax(707) 641-1104
Sole ProprietorNo
Enumeration DateMay 23, 2022
Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
✔ NPI 1689312365 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC-7370
1100 ROSE DR STE 224, Benicia, CA 94510
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689312365, enumerated as an "individual" on May 23, 2022.
The provider is located at 1100 ROSE DR STE 224 BENICIA, CA 94510 and the phone number is (707) 642-5139.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
