Healthcare Provider Details

I. General information

NPI: 1255258356
Provider Name (Legal Business Name): HEALING OASIS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4645 DULEY DR
WHITE PLAINS MD
20695-3115
US

IV. Provider business mailing address

4645 DULEY DR
WHITE PLAINS MD
20695-3115
US

V. Phone/Fax

Practice location:
  • Phone: 301-861-7670
  • Fax:
Mailing address:
  • Phone: 301-861-7670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY M ST. JOHN
Title or Position: OWNER/CEO
Credential: MHA, CPRP, CFRP
Phone: 301-861-7670