Organization Active NPI

Goat & Snowflake, LLC

  • Adult Mental Health Clinic/Center
  • Lilburn, GA
National Provider Identifier
1154723534
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LPC007878 Issued in GA
Legal business name
GOAT & SNOWFLAKE, LLC
Practice address
3028 Brookwood Oak LN SW
Lilburn, GA 30047-8112
Phone
(678) 458-7219
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Tamara Steblez Ashley, LPC
Title
President
Phone
(678) 458-7219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LPC007878 GA Primary

Addresses

Primary practice location

3028 Brookwood Oak LN SW
Lilburn, GA 30047-8112

Mailing address

3028 Brookwood Oak LN SW
Lilburn, GA 30047-8112
Phone (678) 458-7219

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1154723534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 BROOKWOOD OAK LN SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300478112",
            "telephone_number": "678-458-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 BROOKWOOD OAK LN SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300478112",
            "telephone_number": "678-458-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOAT & SNOWFLAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "STEBLEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-458-7219",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "LPC007878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.