MEDICARE: OASIS COUNSELING AND EDUCATIONAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	15688	TX
2	101YM0800X	Mental Health Counselor	15688	TX
3	101YS0200X	School Counselor	15688	TX
4	106H00000X	Marriage & Family Therapist	15688	TX
5	101YP2500X	Professional Counselor	15688	TX

General Provider Information

NPI Number	:	1649663725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS COUNSELING AND EDUCATIONAL SERVICES

Provider Business Mailing Address
First Line	:	3435 HIGHLAND RD
Second Line	:	SUITE 110
City	:	DALLAS
State	:	TX
Zip	:	75228-6068
Country	:	US
Telephone Number	:	214-435-6414
Fax Number	:	877-773-9382

Provider Business Practice Location Address
First Line	:	3435 HIGHLAND RD
Second Line	:	SUITE 110
City	:	DALLAS
State	:	TX
Zip	:	75228-6068
Country	:	US
Telephone Number	:	214-435-6414
Fax Number	:	877-773-9382

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. MARY CHINELO OKAFOR
Credential	:	ED.D; LPC-S
Telephone Number	:	214-415-0871

Provider Enumeration Date	:	03/12/2015
Last Update Date	:	03/12/2015

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