Provider Demographics
NPI:1093088890
Name:OASIS COUNSELING, A PLLC
Entity Type:Organization
Organization Name:OASIS COUNSELING, A PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPRANELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-544-3497
Mailing Address - Street 1:279 S JOE MARTINEZ BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-5439
Mailing Address - Country:US
Mailing Address - Phone:719-544-4111
Mailing Address - Fax:719-544-3497
Practice Address - Street 1:200 W 29TH ST
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-1004
Practice Address - Country:US
Practice Address - Phone:719-544-4111
Practice Address - Fax:719-544-3497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1623-01101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty