| Oasis Therapy Llc | |
|
2534 Ridge Runner Rd Las Vegas NM 87701-4971 | |
| (505) 617-1180 | |
| Not Available |
| Full Name | Oasis Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2534 Ridge Runner Rd, Las Vegas, New Mexico |
| Authorized Official Name and Position | Deidra Cordova (OWNER) |
| Authorized Official Contact | 5056171180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Therapy Llc Po Box 45681 Rio Rancho NM 87174-5681 Ph: (505) 226-1960 | Oasis Therapy Llc 2534 Ridge Runner Rd Las Vegas NM 87701-4971 Ph: (505) 617-1180 |
| NPI Number | 1003490269 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Medicare PECOS PAC ID | 9638578206 |
|---|---|
| Medicare Enrollment ID | O20210602000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003490269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Deidra Marie Cordova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851806525 PECOS PAC ID: 1355753385 Enrollment ID: I20201216002722 |
Ayudantes, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Hot Springs Blvd, #5, Las Vegas, NM 87701 Phone: 505-425-6786 Fax: 505-425-6787 | |
Spiro Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Mills Ave, Las Vegas, NM 87701 Phone: 505-570-1927 | |
Grano De Oro Family Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 7th St, Las Vegas, NM 87701 Phone: 505-617-6313 | |
Amistad Y Resolana Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 713 Railroad Ave, Las Vegas, NM 87701 Phone: 505-617-5846 Fax: 505-454-7198 | |
Sunrise Clinics - Wlv Louis Armijo Sbhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Santa Fe St, Las Vegas, NM 87701 Phone: 505-426-2599 Fax: 877-553-1272 | |
Carino Family Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2528 Ridge Runner Rd, Las Vegas, NM 87701 Phone: 575-520-9899 Fax: 505-425-9223 |