Organization
HEALING OASIS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLA WILLIAMS (CREDENTIALING SPECIALIST)
(267) 879-0175
Entity
Organization
Contact information
Practice address
6959 DEER BLUFF DR, DAYTON, OH 45424-7040
(937) 518-0086
Mailing address
PO BOX 24494, DAYTON, OH 45424-0494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027288
—
IN
05
—
326087
—
OH
Enumeration date
12/16/2021
Last updated
12/16/2021
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