Provider Demographics
NPI:1992504898
Name:OASIS PSYCHIATRIC SERVICES, LLC
Entity type:Organization
Organization Name:OASIS PSYCHIATRIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP- BC
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:BENSON
Authorized Official - Last Name:CROWDER-KALLA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:706-590-8188
Mailing Address - Street 1:120 19TH ST N STE 201
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-3219
Mailing Address - Country:US
Mailing Address - Phone:706-590-8188
Mailing Address - Fax:
Practice Address - Street 1:295 LEE RD 380
Practice Address - Street 2:
Practice Address - City:VALLEY
Practice Address - State:AL
Practice Address - Zip Code:36854
Practice Address - Country:US
Practice Address - Phone:706-590-8188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health