Provider Demographics
NPI:1780569723
Name:OLIVE TREE THERAPY LLC
Entity type:Organization
Organization Name:OLIVE TREE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-832-5641
Mailing Address - Street 1:1223 N ROCK RD
Mailing Address - Street 2:BUILDING A SUITE 100
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-1271
Mailing Address - Country:US
Mailing Address - Phone:316-512-1486
Mailing Address - Fax:316-235-2490
Practice Address - Street 1:1223 N ROCK RD
Practice Address - Street 2:BUILDING A SUITE 100
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-1271
Practice Address - Country:US
Practice Address - Phone:316-512-1486
Practice Address - Fax:316-235-2490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty