Healthcare Provider Details

I. General information

NPI: 1215861679
Provider Name (Legal Business Name): OASIS WELLNESS CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2126 HIGHWAY 9 E STE F2
LONGS SC
29568-5735
US

IV. Provider business mailing address

2126 HIGHWAY 9 E STE F2
LONGS SC
29568-5735
US

V. Phone/Fax

Practice location:
  • Phone: 843-399-1650
  • Fax: 843-399-2924
Mailing address:
  • Phone: 843-399-1650
  • Fax: 843-399-2924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DOROTHY POWELL
Title or Position: OWNER/PROVIDER
Credential:
Phone: 843-399-1650