Healthcare Provider Details

I. General information

NPI: 1982426011
Provider Name (Legal Business Name): OASIS CHRISTIAN COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 W CHANDLER BLVD STE 118
CHANDLER AZ
85225-7536
US

IV. Provider business mailing address

565 W CHANDLER BLVD STE 118
CHANDLER AZ
85225-7536
US

V. Phone/Fax

Practice location:
  • Phone: 480-382-0810
  • Fax: 480-963-8322
Mailing address:
  • Phone: 480-382-0810
  • Fax: 480-963-8322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATHLEEN GERSTNER
Title or Position: OWNER, MANAGER
Credential: LCSW
Phone: 480-382-0810