Provider Demographics
NPI:1992469613
Name:HERB N OASIS
Entity type:Organization
Organization Name:HERB N OASIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HOLISTIC WELLNESS
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA JANAE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-650-5412
Mailing Address - Street 1:2529 W CACTUS RD APT 2136
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-2596
Mailing Address - Country:US
Mailing Address - Phone:617-650-5412
Mailing Address - Fax:
Practice Address - Street 1:32 MELBOURNE ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER CENTER
Practice Address - State:MA
Practice Address - Zip Code:02124-2422
Practice Address - Country:US
Practice Address - Phone:617-650-5412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty