| Dba Oasis Community Counseling Center | |
|
910 Pierremont Rd Ste 410 Shreveport LA 71106-2056 | |
| (318) 861-8625 | |
| (318) 861-8626 |
| Full Name | Dba Oasis Community Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 910 Pierremont Rd Ste 410, Shreveport, Louisiana |
| Authorized Official Name and Position | Jacqueline A Danzell (PRESIDENT, OWNER) |
| Authorized Official Contact | 3188618625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Oasis Community Counseling Center 910 Pierremont Rd Ste 410 Shreveport LA 71106-2056 Ph: (318) 861-8625 | Dba Oasis Community Counseling Center 910 Pierremont Rd Ste 410 Shreveport LA 71106-2056 Ph: (318) 861-8625 |
| NPI Number | 1760762470 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 08/21/2013 |
| Medicare PECOS PAC ID | 5890968747 |
|---|---|
| Medicare Enrollment ID | O20111109000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760762470 | NPI | - | NPPES |
| Provider Name | Jacqueline A Danzell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154355618 PECOS PAC ID: 4880590066 Enrollment ID: I20031209000576 |
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