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Organization

HARBOR OASIS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELE PAYNE PHD, LMFT (OWNER/LMFT)
(337) 353-2640
Entity
Organization

Contact information

Practice address
271 PULLEM BRANCH RD, MERRYVILLE, LA 70653-0624
(337) 353-2640
Mailing address
PO BOX 624, MERRYVILLE, LA 70653-0624

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
106H00000X
Marriage & Family Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
806
STATE OF LOUISIANA BOARD OF EXAMINERS
LA
Enumeration date
09/17/2018
Last updated
02/02/2022
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