Organization
OASIS MINISTRIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORAL KAZEBEE TRINIDAD LPC007357 (OWNER)
(470) 336-8598
Entity
Organization
Contact information
Practice address
4562 LAWRENCEVILLE HWY NW STE 101B, LILBURN, GA 30047-3650
(678) 630-7564
(687) 559-0717
Mailing address
4562 LAWRENCEVILLE HWY NW STE 101B, LILBURN, GA 30047-3650
(678) 630-7564
(678) 559-0717
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC007357
GA
Other
Enumeration date
07/06/2015
Last updated
10/01/2021
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