Provider Demographics
NPI:1578290474
Name:OAKSTAR HEALERS
Entity Type:Organization
Organization Name:OAKSTAR HEALERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DILEO
Authorized Official - Suffix:
Authorized Official - Credentials:DD, MPC, MS ED
Authorized Official - Phone:781-317-9421
Mailing Address - Street 1:144 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MANVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02838-1101
Mailing Address - Country:US
Mailing Address - Phone:401-477-2128
Mailing Address - Fax:
Practice Address - Street 1:299 CREEK ST UNIT D
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-1478
Practice Address - Country:US
Practice Address - Phone:508-203-1315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OAKSTAR MINISTRIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-02
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty