Provider Demographics
NPI:1306023494
Name:OASIS COUNSELING INC
Entity Type:Organization
Organization Name:OASIS COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:YUNGERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:770-419-1500
Mailing Address - Street 1:379 ATLANTA ST SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-2258
Mailing Address - Country:US
Mailing Address - Phone:770-419-1500
Mailing Address - Fax:770-419-1507
Practice Address - Street 1:379 ATLANTA ST SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-2258
Practice Address - Country:US
Practice Address - Phone:770-419-1500
Practice Address - Fax:770-419-1507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)