Healthcare Provider Details

I. General information

NPI: 1316802978
Provider Name (Legal Business Name): OASISSOLACE COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 EDWINSTOWE AVE
FAYETTEVILLE NC
28311-1163
US

IV. Provider business mailing address

514 EDWINSTOWE AVE
FAYETTEVILLE NC
28311-1163
US

V. Phone/Fax

Practice location:
  • Phone: 910-583-5995
  • Fax:
Mailing address:
  • Phone: 910-583-5995
  • 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: TIARA PARKER
Title or Position: OWNER/THERAPIST
Credential: LCMHC
Phone: 910-583-5995