| Oasis Counseling Center,inc. | |
|
4911 N Portland Ave 111 Oklahoma City OK 73112-6170 | |
| (405) 605-3093 | |
| Not Available |
| Full Name | Oasis Counseling Center,inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4911 N Portland Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Donnie Kail Allensworth (CEO) |
| Authorized Official Contact | 4056053093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Counseling Center,inc. Po Box 57241 Oklahoma City OK 73157-7241 Ph: (405) 605-3093 | Oasis Counseling Center,inc. 4911 N Portland Ave 111 Oklahoma City OK 73112-6170 Ph: (405) 605-3093 |
| NPI Number | 1679699169 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 04/23/2015 |
| Medicare PECOS PAC ID | 7315110939 |
|---|---|
| Medicare Enrollment ID | O20111107000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679699169 | NPI | - | NPPES |
| 200045660A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Janice Birdsong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477710325 PECOS PAC ID: 1456506518 Enrollment ID: I20130222000039 |
| Provider Name | Christine Jane Bruner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285974089 PECOS PAC ID: 1355787391 Enrollment ID: I20240312003245 |
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