Provider Demographics
NPI:1568815033
Name:SC MESSAM INC.
Entity Type:Organization
Organization Name:SC MESSAM INC.
Other - Org Name:OASIS COMMUNITY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST/CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINLUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-625-0808
Mailing Address - Street 1:301 3RD ST NW
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-4094
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 3RD ST NW
Practice Address - Street 2:SUITE 201
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4094
Practice Address - Country:US
Practice Address - Phone:407-625-0808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 133481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty