Healthcare Provider Details

I. General information

NPI: 1093350357
Provider Name (Legal Business Name): OASIS MENTAL HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2019
Last Update Date: 09/02/2025
Certification Date: 03/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 NW 183RD ST STE 264
HIALEAH FL
33015-6026
US

IV. Provider business mailing address

5901 NW 183RD ST STE 264
HIALEAH FL
33015-6026
US

V. Phone/Fax

Practice location:
  • Phone: 786-418-9790
  • Fax: 786-358-6063
Mailing address:
  • Phone: 786-418-9790
  • Fax: 786-358-6063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DEIVY CALVO HERNANDEZ
Title or Position: CEO
Credential:
Phone: 786-418-9790