Provider Demographics
NPI:1992056741
Name:OASIS BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:OASIS BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAHSHEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERINE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:225-389-6110
Mailing Address - Street 1:717 S FOSTER DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-5943
Mailing Address - Country:US
Mailing Address - Phone:225-389-6110
Mailing Address - Fax:225-389-6689
Practice Address - Street 1:717 S FOSTER DR
Practice Address - Street 2:SUITE 130
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-5943
Practice Address - Country:US
Practice Address - Phone:225-389-6110
Practice Address - Fax:225-389-6689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA909103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty