Organization
SLV GROUP, LLC
Active
Parent organization
SLV GROUP, LLC
Other names
Oasis Mental Health and Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
SLV GROUP, LLC
Authorized official
DR. AMY LAVALLA DNP, PMHNP-BC, APRN (ADMINISTRATOR)
(218) 512-0630
Entity
Organization
Contact information
Practice address
1132 28TH AVE S STE 102, MOORHEAD, MN 56560-4420
(218) 512-0630
Mailing address
1132 28TH AVE S STE 102, MOORHEAD, MN 56560-4420
(218) 512-0630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
12/30/2022
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