Healthcare Provider Details
I. General information
NPI: 1477673796
Provider Name (Legal Business Name): OASIS BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
689 CENTRAL AVE OASIS BEHAVIORAL HEALTH SERVICES LLC
BARBOURSVILE WV
25504-0219
US
IV. Provider business mailing address
PO BOX 219 689 CENTRAL AVE OASIS BEHAVIORAL HEALTH SERVICES LLC
BARBOURSVILE WV
25504-0219
US
V. Phone/Fax
- Phone: 304-733-3331
- Fax: 304-733-3334
- Phone: 304-733-3331
- Fax: 304-733-3334
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | WV |
VIII. Authorized Official
Name: DR.
WILLIAM
B
WEBB
Title or Position: DIRECTOR OWNER
Credential: PHD LICSW
Phone: 304-733-3331