1942819495 NPI number — OASIS COUNSELING SERVICES

Table of content: DR. STACI RENEE NOYES D.C. (NPI 1831330265)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942819495 NPI number — OASIS COUNSELING SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OASIS COUNSELING SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942819495
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11954 NARCOOSSEE RD.
Provider Second Line Business Mailing Address:
STE 2 #278
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32832
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-487-9167
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11954 NARCOOSSEE RD.
Provider Second Line Business Practice Location Address:
STE 2 #278
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32832
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-487-9167
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/29/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
POLIARD
Authorized Official First Name:
ALICIA
Authorized Official Middle Name:
Authorized Official Title or Position:
MARRIAGE AND FAMILY THERAPIST
Authorized Official Telephone Number:
407-487-9167

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)