Organization
OASIS COUNSELING INTERNATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK E STORTVEDT LMHP (EXECUTIVE DIRECTOR)
40237920301
Entity
Organization
Contact information
Practice address
221 W DOUGLAS ST, ONEILL, NE 68763-1715
(402) 336-3009
(402) 336-1249
Mailing address
333 W NORFOLK AVE, SUITE 201, NORFOLK, NE 68701-5221
(402) 379-2030
(402) 379-3933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NE
101YM0800X
Mental Health Counselor
Primary
—
NE
103TC0700X
Clinical Psychologist
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96104
BLUE CROSS/BLUE SHIELD
NE
Enumeration date
08/09/2011
Last updated
06/20/2018
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