Organization
EMPOWERING OASIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SHAFFER (OWNER)
(740) 272-0901
Entity
Organization
Contact information
Practice address
190 S STATE ST STE A, WESTERVILLE, OH 43081-2200
(740) 971-0678
Mailing address
812 COSHOCTON AVE, MOUNT VERNON, OH 43050-1947
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
04/08/2025
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