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General NPI Number Information
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NPI Number | 1780826925
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Entity Type | Organization
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Legal Business Name | OASIS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 08/10/2009
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Provider Practice Location Address
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Address Line | 876 DAVENPORT FARM RD
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City | WINTERVILLE
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State | NC
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Zip | 28590-9099
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Country | US
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Telephone | 252-347-1880
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Fax | 252-355-3332
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Provider Business Mailing Address
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Address Line | 876 DAVENPORT FARM RD
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City | WINTERVILLE
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State | NC
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Zip | 28590-9099
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Country | US
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Telephone | 252-347-1880
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Fax | 252-355-3332
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Authorized Official
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Title or Position | MEMBER AND ORGANIZER
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Name | MRS. LATINA G WILLIAMS
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Credential | MS; CRC LCAS
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Telephone | 252-347-1880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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