Olidge, Jaime Tavonia

Olidge, Jaime Tavonia is an individual health care provider with primary practice located at 2911 A W Grimes Blvd Ste 330 , Pflugerville TX 78660-1979. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Olidge, Jaime Tavonia can be contacted via phone (617) 379-0496.

Contact Information

Primary practice address
2911 A W Grimes Blvd Ste 330 Pflugerville TX 78660-1979
Phone: (617) 379-0496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X 88323 Texas

Profile Details

NPI number 1699098723
LBN Legal business name Olidge, Jaime Tavonia
Credentials LPC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2010
Last updated Feb 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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