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General NPI Number Information
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NPI Number | 1003956145
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Entity Type | Organization
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Legal Business Name | OASIS COUNSELING PLC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 4119 N SAGINAW ST SUITE 107
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City | FLINT
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State | MI
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Zip | 48505-3995
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Country | US
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Telephone | 810-336-8931
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 349
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City | FLINT
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State | MI
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Zip | 48501-0349
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Country | US
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Telephone | 810-336-8931
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CLINICAL DIRECTOR
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Name | MRS. BRIDGETTE MARIE CAVETTE
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Credential | LMSW ACSW
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Telephone | 810-336-8931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801082066
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License Number State | MI
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