Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1710727946 |
| LBN Legal business name | THERAPY OASIS LLC |
| Authorized official | ALEXIS VOGT - (PRACTICE OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/27/2024 |
| Last updated | 09/20/2024 - More than a year ago |
| Identifiers | n/a |
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