Provider Demographics
| NPI: | 1801515754 |
|---|---|
| Name: | OASIS ASCENT, LLC |
| Entity type: | Organization |
| Organization Name: | OASIS ASCENT, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | BRENT |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ESPLIN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LMFT |
| Authorized Official - Phone: | 801-491-2270 |
| Mailing Address - Street 1: | 757 S MAIN ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SPRINGVILLE |
| Mailing Address - State: | UT |
| Mailing Address - Zip Code: | 84663-2452 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 801-491-2270 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 122 N 600 W |
| Practice Address - Street 2: | |
| Practice Address - City: | PROVO |
| Practice Address - State: | UT |
| Practice Address - Zip Code: | 84601 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 801-491-2270 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | OASIS ASCENT, LLC |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2022-08-24 |
| Last Update Date: | 2022-08-24 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 310500000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness | |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
| No | 261QR0401X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder |
| No | 273Y00000X | Hospital Units | Rehabilitation Unit | |
| No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | |
| No | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | |
| No | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
| No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children |