Organization
OASIS FOR CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN PRESTON LMFT (CEO)
(970) 541-9534
Entity
Organization
Contact information
Practice address
3005 ROSS DR APT U9, FORT COLLINS, CO 80526-6606
(970) 541-9534
Mailing address
3205 COLONY CLUB RD APT 2, POMPANO BEACH, FL 33062-4728
(970) 541-9534
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/28/2020
Last updated
04/28/2026
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