Provider Demographics
NPI:1770768590
Name:OASIS COUNSELING INC
Entity type:Organization
Organization Name:OASIS COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICKY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-792-1552
Mailing Address - Street 1:1017 SHIVE LN STE D
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-8039
Mailing Address - Country:US
Mailing Address - Phone:270-792-1552
Mailing Address - Fax:270-782-7282
Practice Address - Street 1:1017 SHIVE LN STE D
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103-8039
Practice Address - Country:US
Practice Address - Phone:270-792-1552
Practice Address - Fax:270-782-7282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty