Provider Demographics
NPI:1578188710
Name:OATIS, VALERIE M (LMSW)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:M
Last Name:OATIS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9953 E KEATS AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-2567
Mailing Address - Country:US
Mailing Address - Phone:602-358-4116
Mailing Address - Fax:
Practice Address - Street 1:1124 E MCKELLIPS RD STE 110
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-2766
Practice Address - Country:US
Practice Address - Phone:480-882-7370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-13
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health