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Organization

EMERGING OASIS AGENTS OF CHANGE

Active
Parent organization
EMERGING OASIS AGENTS OF CHANGE
Organization subpart
Yes

Provider details

NPI number
Legal business name
EMERGING OASIS AGENTS OF CHANGE
Authorized official
DR. SHARON LERAY (OWNER)
(225) 963-8092
Entity
Organization

Contact information

Practice address
11822 JUSTICE AVE, BATON ROUGE, LA 70816-2306
(225) 963-8092
Mailing address
11822 JUSTICE AVE STE B5, BATON ROUGE, LA 70816-2306
(225) 963-8092

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/01/2021
Last updated
12/01/2021
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