Active NPI
The Oasis Sanctuary LLC
- Mental Health Counselor
- Cumming, GA
National Provider Identifier
1083519557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THE OASIS SANCTUARY LLC
- Practice address
- 4605 Roan Run
Cumming, GA 30040-1454 - Phone
- (678) 857-2708
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jesaira Leshonda Glover, LPC
- Title
- Founder/LPC
- Phone
- (678) 857-2708
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4605 Roan Run
Cumming, GA 30040-1454
Mailing address
4605 Roan Run
Cumming, GA 30040-1454
Phone (678) 857-2708
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791849600000",
"number": "1083519557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 ROAN RUN",
"city": "CUMMING",
"state": "GA",
"postal_code": "300401454",
"telephone_number": "678-857-2708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 ROAN RUN",
"city": "CUMMING",
"state": "GA",
"postal_code": "300401454",
"telephone_number": "678-857-2708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE OASIS SANCTUARY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A",
"authorized_official_last_name": "GLOVER",
"authorized_official_first_name": "JESAIRA",
"authorized_official_middle_name": "LESHONDA",
"authorized_official_title_or_position": "FOUNDER/LPC",
"authorized_official_telephone_number": "678-857-2708",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.