| Oasis Ministries Llc | |
|
4562 Lawrenceville Hwy Nw Ste 101b Lilburn GA 30047-3650 | |
| (678) 630-7564 | |
| (687) 559-0717 |
| Full Name | Oasis Ministries Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4562 Lawrenceville Hwy Nw Ste 101b, Lilburn, Georgia |
| Authorized Official Name and Position | Coral Kazebee Trinidad (OWNER) |
| Authorized Official Contact | 4703368598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Ministries Llc 4562 Lawrenceville Hwy Nw Ste 101b Lilburn GA 30047-3650 Ph: (678) 630-7564 | Oasis Ministries Llc 4562 Lawrenceville Hwy Nw Ste 101b Lilburn GA 30047-3650 Ph: (678) 630-7564 |
| NPI Number | 1922481191 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 10/01/2021 |
| Certification Date | 10/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922481191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC007357 (Georgia) | Primary |
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