Organization
OASIS OF HOPE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEY S CORBETT LCSW (CEO)
(386) 697-8842
Entity
Organization
Contact information
Practice address
260 S MARION AVE STE 135, LAKE CITY, FL 32025-7000
(386) 697-8842
Mailing address
PO BOX 3394, LAKE CITY, FL 32056-3394
(386) 697-8842
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116149000
—
FL
Enumeration date
12/06/2021
Last updated
09/26/2024
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