Provider Demographics
NPI:1548623820
Name:OASIS COUNSELING, LLC
Entity type:Organization
Organization Name:OASIS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALA
Authorized Official - Middle Name:
Authorized Official - Last Name:DULCIO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-292-1417
Mailing Address - Street 1:772 W LUMSDEN RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6260
Mailing Address - Country:US
Mailing Address - Phone:813-685-6700
Mailing Address - Fax:813-413-7979
Practice Address - Street 1:772 W LUMSDEN RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6260
Practice Address - Country:US
Practice Address - Phone:813-685-6700
Practice Address - Fax:813-413-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-03
Last Update Date:2016-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8997101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty