Healthcare Provider Details

I. General information

NPI: 1154808301
Provider Name (Legal Business Name): OASIS BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2018
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 PRINCETON ST STE 304
NORTH CHELMSFORD MA
01863-1581
US

IV. Provider business mailing address

73 PRINCETON ST STE 304
NORTH CHELMSFORD MA
01863-1581
US

V. Phone/Fax

Practice location:
  • Phone: 978-455-3141
  • Fax: 978-455-3069
Mailing address:
  • Phone: 978-455-3141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEBBIE PETERS
Title or Position: OFFICE MANAGER
Credential:
Phone: 978-455-3141