Healthcare Provider Details

I. General information

NPI: 1285545673
Provider Name (Legal Business Name): BLUE OAK CENTER FOR OCD & ANXIETY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 BROFIELD ST
BROOKSVILLE FL
34604
US

IV. Provider business mailing address

14391 SPRING HILL DR STE 435
SPRING HILL FL
34609-8199
US

V. Phone/Fax

Practice location:
  • Phone: 203-470-1583
  • Fax:
Mailing address:
  • Phone: 203-470-1583
  • Fax:

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 State

VIII. Authorized Official

Name: KATHLEEN ELIZABETH DUNBAR
Title or Position: FOUNDER
Credential: MA, LMHC, NCC
Phone: 203-470-1583