| Oasis Of Hope Therapy Llc | |
|
260 S Marion Ave Ste 135 Lake City FL 32025-7000 | |
| (386) 697-8842 | |
| Not Available |
| Full Name | Oasis Of Hope Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 260 S Marion Ave Ste 135, Lake City, Florida |
| Authorized Official Name and Position | Josey S Corbett (CEO) |
| Authorized Official Contact | 3866978842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Of Hope Therapy Llc Po Box 3394 Lake City FL 32056-3394 Ph: (386) 697-8842 | Oasis Of Hope Therapy Llc 260 S Marion Ave Ste 135 Lake City FL 32025-7000 Ph: (386) 697-8842 |
| NPI Number | 1831857945 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Medicare PECOS PAC ID | 4880087261 |
|---|---|
| Medicare Enrollment ID | O20220207002294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831857945 | NPI | - | NPPES |
| 116149000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Josey S Corbett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386181535 PECOS PAC ID: 0941550511 Enrollment ID: I20180830003139 |
| Provider Name | Carolyn D Schulze |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609344589 PECOS PAC ID: 5698010494 Enrollment ID: I20181226001036 |
| Provider Name | Sandra P Caserta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700525425 PECOS PAC ID: 7113300369 Enrollment ID: I20220820000110 |
| Provider Name | David Leland Patrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679935126 PECOS PAC ID: 5294034492 Enrollment ID: I20231120000511 |
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