Healthcare Provider Details

I. General information

NPI: 1265166375
Provider Name (Legal Business Name): TRU OASIS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2022
Last Update Date: 07/13/2022
Certification Date: 07/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W 13 MILE RD STE 150
MADISON HEIGHTS MI
48071-1873
US

IV. Provider business mailing address

2126 PIPPIN CT
TROY MI
48098-2245
US

V. Phone/Fax

Practice location:
  • Phone: 248-762-6748
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARY MICHAIL
Title or Position: OWNER
Credential:
Phone: 248-762-6748