| Oasis Counseling Center, Llc | |
|
1720 Lexington Rd Ste A Athens GA 30605-2330 | |
| (706) 543-3522 | |
| (706) 543-3523 |
| Full Name | Oasis Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1720 Lexington Rd Ste A, Athens, Georgia |
| Authorized Official Name and Position | Stacy Daniel Sampson (OWNER/COUNSELOR) |
| Authorized Official Contact | 7065433522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Counseling Center, Llc 1720 Lexington Rd Ste A Athens GA 30605-2330 Ph: (706) 543-3522 | Oasis Counseling Center, Llc 1720 Lexington Rd Ste A Athens GA 30605-2330 Ph: (706) 543-3522 |
| NPI Number | 1194063198 |
|---|---|
| Provider Enumeration Date | 01/25/2013 |
| Last Update Date | 08/07/2020 |
| Certification Date | 08/07/2020 |
| Medicare PECOS PAC ID | 4981021482 |
|---|---|
| Medicare Enrollment ID | O20221206001045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194063198 | NPI | - | NPPES |
| 003129600A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Dawn Healy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447485735 PECOS PAC ID: 5092996157 Enrollment ID: I20140417001284 |
| Provider Name | April Evelyn Orr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639246721 PECOS PAC ID: 9335518877 Enrollment ID: I20221206001106 |
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