Organization
BLISSFUL OASIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA MACKLIN (CEO, OWNER)
(804) 306-9145
Entity
Organization
Contact information
Practice address
5402 GLENSIDE DR STE D, RICHMOND, VA 23228-3994
(804) 306-9145
Mailing address
12220 CHATTANOOGA PLZ # 104, MIDLOTHIAN, VA 23112-4865
(804) 306-9145
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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