Healthcare Provider Details

I. General information

NPI: 1710838131
Provider Name (Legal Business Name): OLIVER OASIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22064 NOVI RD
NOVI MI
48375-4705
US

IV. Provider business mailing address

22064 NOVI RD
NOVI MI
48375-4705
US

V. Phone/Fax

Practice location:
  • Phone: 248-383-5788
  • Fax:
Mailing address:
  • Phone: 248-383-5788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: YUSHU ZHOU
Title or Position: AUTHORISED REPRESENTATIVE
Credential:
Phone: 607-280-8808