Provider Demographics
NPI:1689548158
Name:ESTES, OLIVIA (CSW)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:ESTES
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 CORINNE DR
Mailing Address - Street 2:
Mailing Address - City:EDDYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42038-7678
Mailing Address - Country:US
Mailing Address - Phone:618-977-1134
Mailing Address - Fax:
Practice Address - Street 1:266 WATER ST
Practice Address - Street 2:
Practice Address - City:EDDYVILLE
Practice Address - State:KY
Practice Address - Zip Code:42038-7737
Practice Address - Country:US
Practice Address - Phone:270-388-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY257672101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health