| Blue Oasis Therapeutic Services Llc | |
|
2233 Walbert Ave Ste 202 Allentown PA 18104-1363 | |
| (484) 273-2361 | |
| Not Available |
| Full Name | Blue Oasis Therapeutic Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2233 Walbert Ave Ste 202, Allentown, Pennsylvania |
| Authorized Official Name and Position | Janessa Lynn Herman (SOLE MEMBER) |
| Authorized Official Contact | 4842732361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Oasis Therapeutic Services Llc 2365 Hahns Dairy Rd Palmerton PA 18071-5322 Ph: (484) 464-1964 | Blue Oasis Therapeutic Services Llc 2233 Walbert Ave Ste 202 Allentown PA 18104-1363 Ph: (484) 273-2361 |
| NPI Number | 1679045967 |
|---|---|
| Provider Enumeration Date | 12/26/2018 |
| Last Update Date | 12/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679045967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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