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NPI Code Detail

MEDICARE: OASIS COUNSELING

MEDICARE: OASIS COUNSELING
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
1101YM0800XMental Health CounselorCI0178NV

General Provider Information

NPI Number : 1629459383
Entity Type Code : Organization
Provider Name (Legal Business Name) : OASIS COUNSELING
Provider Business Mailing Address
First Line : 7361 PRAIRIE FALCON RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0824
Country : US
Telephone Number : 702-294-0433
Fax Number :
Provider Business Practice Location Address
First Line : 7361 PRAIRIE FALCON RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0824
Country : US
Telephone Number : 702-294-0433
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BARBARA ADAMCZAK
Credential :
Telephone Number : 702-294-0433
Provider Enumeration Date : 06/17/2015
Last Update Date : 06/17/2015

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1689942971 — CODY DYLAN DIMINO
Practice Location Address:
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89128-0824
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1316216781 — JENNIFER MARIE HUGHES OTR/L
Practice Location Address:
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89128-0824
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1740618446 — MARISA HURT P.T., D.P.T
Practice Location Address:
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89128-0824
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Directions to “OASIS COUNSELING ” Practice Location

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