Organization
OASIS COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA L BRUCATO (PROGRAM MANAGER)
(270) 943-1851
Entity
Organization
Contact information
Practice address
1030 SHIVE LN, BOWLING GREEN, KY 42103-8037
(270) 943-1851
Mailing address
PO BOX 51247, BOWLING GREEN, KY 42102-5547
(270) 943-1851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65940694
—
KY
05
—
82900150
—
KY
Enumeration date
11/06/2006
Last updated
12/14/2011
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