Organization
MINDFUL OASIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAM BOUANANE-SMITH PMHNP-BC (OWNER)
(757) 720-1040
Entity
Organization
Contact information
Practice address
3500 VIRGINIA BEACH BLVD STE 202, VIRGINIA BEACH, VA 23452-4445
(757) 720-1040
(757) 720-1041
Mailing address
3500 VIRGINIA BEACH BLVD STE 202, VIRGINIA BEACH, VA 23452-4445
(757) 720-1040
(757) 720-1041
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
07/28/2025
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