Provider Demographics
NPI:1942819495
Name:OASIS COUNSELING SERVICES
Entity Type:Organization
Organization Name:OASIS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:POLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT, CFLE
Authorized Official - Phone:407-487-9167
Mailing Address - Street 1:11954 NARCOOSSEE RD.
Mailing Address - Street 2:STE 2 #278
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832
Mailing Address - Country:US
Mailing Address - Phone:407-487-9167
Mailing Address - Fax:
Practice Address - Street 1:11954 NARCOOSSEE RD.
Practice Address - Street 2:STE 2 #278
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832
Practice Address - Country:US
Practice Address - Phone:407-487-9167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health