Oasis Therapy LLC

NPI #1003490269 in Las Vegas, New Mexico

Provider Information

NPI Number: 1003490269
Entity Type: Organization
Organization Name: Oasis Therapy LLC
Primary Specialty: Social Worker
Enumeration Date: May 12, 2021
Last Updated: May 12, 2021

Practice Location

Address: 2534 RIDGE RUNNER RD
City: Las Vegas
State: New Mexico
ZIP Code: 87701-4971
Phone: (505) 617-1180

Authorized Official

Name: DEIDRA CORDOVA, LCSW
Title: OWNER
Phone: (505) 617-1180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Social Worker	104100000X	Primary

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