Provider Demographics
NPI:1467854901
Name:OASIS PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:OASIS PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:517-489-1468
Mailing Address - Street 1:3815 W SAINT JOSEPH ST
Mailing Address - Street 2:SUITE A300
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-3666
Mailing Address - Country:US
Mailing Address - Phone:517-489-1468
Mailing Address - Fax:
Practice Address - Street 1:3815 W SAINT JOSEPH ST
Practice Address - Street 2:SUITE A300
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-3666
Practice Address - Country:US
Practice Address - Phone:517-489-1468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010914231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty