Olive Branch Mentoring

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20171578899 Issued in NV

Legal business name

OLIVE BRANCH MENTORING

Practice address

5548 Ayers Cliff Street
North Las Vegas, NV 89081

Phone

(702) 738-9589

NPI assigned

Sep 12, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiaijah S Feltus-Wimberly

Title

Owner

Phone

(702) 738-9589

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912426909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5548 AYERS CLIFF ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890812462",
            "telephone_number": "702-738-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5548 AYERS CLIFF STREET",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89081",
            "telephone_number": "702-738-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH MENTORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FELTUS-WIMBERLY",
        "authorized_official_first_name": "TIAIJAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-738-9589"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20171578899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Thomas Oliphant, MSPAS, PA-C
• Julian Olivares
• Jessica Olivarez
• Mariana Lysseth Olivas Amador
• Asaf Olivas Estebane
• Olive Branch Supportive Services LLC
• Demarrius Oliver
• Margaret Marie Oliver, LCSW
• Michael Phillip Oliver
• Jailon Javier Olivera Lopez

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.