| Oasis Counseling, Llc | |
|
845 W Center St Ste C102 Pocatello ID 83204-4205 | |
| (208) 881-3212 | |
| (208) 973-4911 |
| Full Name | Oasis Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 845 W Center St, Pocatello, Idaho |
| Authorized Official Name and Position | Temoc Rafael Torres (OWNER) |
| Authorized Official Contact | 2084038913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Counseling, Llc 845 W Center St Ste C102 Pocatello ID 83204-4205 Ph: (208) 881-3212 | Oasis Counseling, Llc 845 W Center St Ste C102 Pocatello ID 83204-4205 Ph: (208) 881-3212 |
| NPI Number | 1265200893 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 9436501681 |
|---|---|
| Medicare Enrollment ID | O20240123004313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265200893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Temoc R Torres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346708948 PECOS PAC ID: 8921450180 Enrollment ID: I20240216003737 |
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