Active NPI
Goat & Snowflake, LLC
- Adult Mental Health Clinic/Center
- Lilburn, GA
National Provider Identifier
1154723534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- LPC007878
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.