Organization Active NPI

Oasis of Serenity Counseling and Consulting Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Peachtree City, GA
National Provider Identifier
1033647110
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LPC006518 Issued in GA
Legal business name
OASIS OF SERENITY COUNSELING AND CONSULTING SERVICES, LLC
Practice address
111 Petrol PT Ste K
Peachtree City, GA 30269-1550
Phone
(470) 377-6839
Fax
(678) 723-9016
NPI assigned
Jun 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sharon Grant, LPCNPI 1689930877
Title
Clinician
Phone
(470) 377-6839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LPC006518 GA Primary

Addresses

Primary practice location

111 Petrol PT Ste K
Peachtree City, GA 30269-1550

Mailing address

111 Petrol PT Ste K
Peachtree City, GA 30269-1550
Phone (470) 377-6839

National Provider Directory

National Provider Directory

Locations

111 Petrol Pt
Ste K
Peachtree City, GA 30269
Phone (470) 377-6839

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033647110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PETROL PT STE K",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691550",
            "telephone_number": "470-377-6839",
            "fax_number": "678-723-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PETROL PT STE K",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691550",
            "telephone_number": "470-377-6839",
            "fax_number": "678-723-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS OF SERENITY COUNSELING AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "470-377-6839",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "LPC006518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.