Provider Demographics
NPI:1639471139
Name:OASIS MENTAL HEALTH
Entity Type:Organization
Organization Name:OASIS MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:F
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-754-1011
Mailing Address - Street 1:2580 HIWAY 95 STE 213F
Mailing Address - Street 2:
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-7331
Mailing Address - Country:US
Mailing Address - Phone:928-754-1011
Mailing Address - Fax:928-754-1015
Practice Address - Street 1:2580 HIWAY 95 STE 213F
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-7331
Practice Address - Country:US
Practice Address - Phone:928-754-1011
Practice Address - Fax:928-754-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1282251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health