Organization Active NPI

Oasis Ministries LLC

  • Community/Behavioral Health Agency
  • Lilburn, GA
National Provider Identifier
1922481191
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC007357 Issued in GA
Legal business name
OASIS MINISTRIES LLC
Practice address
4562 Lawrenceville Hwy NW Ste 101B
Lilburn, GA 30047-3650
Phone
(678) 630-7564
Fax
(687) 559-0717
NPI assigned
Jul 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Ms. Coral Kazebee Trinidad, LPC007357NPI 1992169676
Title
Owner
Phone
(470) 336-8598

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
Community/Behavioral Health Agency 251S00000X LPC007357 GA Primary

Addresses

Primary practice location

4562 Lawrenceville Hwy NW Ste 101B
Lilburn, GA 30047-3650

Mailing address

4562 Lawrenceville Hwy NW Ste 101B
Lilburn, GA 30047-3650
Phone (678) 630-7564

National Provider Directory

National Provider Directory

Locations

4562 Lawrenceville Hwy NW
Ste 101B
Lilburn, GA 30047
Phone (678) 630-7564

2140 McGee Rd
Ste A1600
Snellville, GA 30078
Phone (678) 638-2075

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1922481191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4562 LAWRENCEVILLE HWY NW STE 101B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473650",
            "telephone_number": "678-630-7564",
            "fax_number": "678-559-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4562 LAWRENCEVILLE HWY NW STE 101B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473650",
            "telephone_number": "678-630-7564",
            "fax_number": "687-559-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS MINISTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "TRINIDAD",
        "authorized_official_first_name": "CORAL",
        "authorized_official_middle_name": "KAZEBEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-336-8598",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC007357"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC007357",
            "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 Oct 1, 2021; 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.