Healthcare Provider Details

I. General information

NPI: 1689301426
Provider Name (Legal Business Name): OASIS OF HOPE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2022
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 N MAIN ST STE 209
ANDERSON SC
29621-3880
US

IV. Provider business mailing address

PO BOX 352
PIEDMONT SC
29673-0352
US

V. Phone/Fax

Practice location:
  • Phone: 864-559-8192
  • Fax: 864-484-8554
Mailing address:
  • Phone: 864-559-8192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ALISON DAWN BRAGDON
Title or Position: CEO
Credential:
Phone: 954-529-0749