Organization
MINDBODY OASIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GRACE KORIR FNP-C, PMHNP-BC (APRN)
(702) 812-0925
Entity
Organization
Contact information
Practice address
5972 WELLINGTON PEAK RD, LAS VEGAS, NV 89148-1498
(702) 812-0925
Mailing address
5972 WELLINGTON PEAK RD, LAS VEGAS, NV 89148-1498
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
07/08/2025
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