Oasis Behavioral Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OASIS BEHAVIORAL HEALTH, LLC

Practice address

2261 Sharondale Dr
Villa Rica, GA 30180-8425

Phone

(678) 410-7304

NPI assigned

Jun 1, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Lester, LCSWNPI 1255977252

Title

Owner

Phone

(678) 410-7304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Lester, LMSW

  • Clinical Social Worker
  • Carrollton, GA
  • NPI 1255977252
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1295301174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 SHARONDALE DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301808425",
            "telephone_number": "678-410-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 SHARONDALE DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301808425",
            "telephone_number": "678-410-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-410-7304",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Medical Services, LLC
• Dana Michelle Nummerdor, M.A., LPC, NCC
• Shiren Nzegge-Ekane, PHARM.D.
• O.N.F.I.Y.a Agency, Inc
• Oakbrook Hospice of Georgia, LLC
• Kalin Bryn Oglesby, PT
• Oglethorpe Emergency Physicians
• Duke Osita Okeke, DDS
• Ubi Okim
• Ifeoma Okponyia, MD

• Clinical Social Worker in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.