Provider Demographics
NPI:1780826925
Name:OASIS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:OASIS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER AND ORGANIZER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATINA
Authorized Official - Middle Name:G
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MS; CRC LCAS
Authorized Official - Phone:252-347-1880
Mailing Address - Street 1:876 DAVENPORT FARM RD
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9099
Mailing Address - Country:US
Mailing Address - Phone:252-347-1880
Mailing Address - Fax:252-355-3332
Practice Address - Street 1:876 DAVENPORT FARM RD
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-9099
Practice Address - Country:US
Practice Address - Phone:252-347-1880
Practice Address - Fax:252-355-3332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty