Provider Demographics
NPI:1568113926
Name:OASIS COUNSELING, PLLC
Entity type:Organization
Organization Name:OASIS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMILEDGE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:254-498-0730
Mailing Address - Street 1:4504 ANLO AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-4952
Mailing Address - Country:US
Mailing Address - Phone:254-498-0730
Mailing Address - Fax:208-216-7762
Practice Address - Street 1:1838 N VALLEY MILLS DR STE 6
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-2557
Practice Address - Country:US
Practice Address - Phone:254-498-0730
Practice Address - Fax:208-216-7762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2024-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty