MEDICARE: OASIS COUNSELING CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1225577513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS COUNSELING CENTER LLC

Provider Business Mailing Address
First Line	:	14540 62ND CT N
Second Line	:
City	:	LOXAHATCHEE
State	:	FL
Zip	:	33470-4583
Country	:	US
Telephone Number	:	561-847-5688
Fax Number	:	772-800-1051

Provider Business Practice Location Address
First Line	:	7711 N MILITARY TRL STE 1014
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-6506
Country	:	US
Telephone Number	:	561-847-5688
Fax Number	:	772-800-1051

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CALEB HUDSON
Credential	:
Telephone Number	:	561-859-6549

Provider Enumeration Date	:	02/20/2017
Last Update Date	:	05/16/2025

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