Organization
MENTAL OASIS LLC
Active
Other names
Mental Oasis Florida
Organization subpart
No
Provider details
NPI number
Authorized official
L C. RIVERA (EMPLOYEE)
(352) 593-3853
Entity
Organization
Contact information
Practice address
6 W PARK AVE UNIT 1363, LAKE WALES, FL 33859-6257
(352) 593-3853
Mailing address
6 W PARK AVE UNIT 1363, LAKE WALES, FL 33859-6257
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/05/2025
Last updated
02/27/2026
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