Olive Tree Place Inc.

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

28093092A Issued in IN

Legal business name

OLIVE TREE PLACE INC.

Practice address

2218 Main St
Suite E
Lafayette, IN 47904-3614

Phone

(765) 446-1010

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Beth Hawkins, PMH-CNS

Title

Psychiatric Clinical Nurse Speciali

Phone

(765) 404-8317

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1972861367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W 500 S",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098146",
            "telephone_number": "765-404-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 MAIN ST",
            "address_2": "SUITE E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043614",
            "telephone_number": "765-446-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE PLACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PSYCHIATRIC CLINICAL NURSE SPECIALI",
        "authorized_official_telephone_number": "765-404-8317",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMH-CNS"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28093092A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benedicta Ojibah
• Grace Oluwabukola Ojo
• Mohamad Okab
• Adian Okutinyang, MD
• Gabriela Olguin-Flores, RD
• Madeline Nicole Oliver Sawyers
• William K Oliver III, DPM
• Brooke Rigney Olsen, PH.D, HSPP
• Judith Marquess Olson, AU.D., CCC-A
• Said Abdel-Razik Omar, M.D

• Psychiatric/Mental Health Clinical Nurse Specialist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.