Star City Dream Oasis LLC
Counselor, Pastoral in Roanoke, VA. Organization (NPI-2).
NPI number1649192550
StatusActive
Last updated in NPPESJul 30, 2026
Details
- NPI
- 1649192550
- Entity type
- Organization (NPI-2)
- Legal business name
- Star City Dream Oasis LLC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2026
- Certification date
- Jul 30, 2026
- Last updated
- Jul 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP1600X | Counselor, Pastoral | – | – | Yes |
Practice location
1402 Wellsley St NwRoanoke, VA 24017-3032
Phone 540-797-8096 · Fax 540-265-0986
Mailing address
1402 Wellsley St NwRoanoke, VA 24017-3032
Phone 540-797-8096 · Fax 540-265-0986
Authorized official
Derrick Alexander Ruben
Ceo
5407978096
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