| Lotus Forward Behavioral Therapy Llc | |
|
324 Rippling Water Way Perry GA 31069-9448 | |
| (478) 302-0224 | |
| Not Available |
| Full Name | Lotus Forward Behavioral Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 324 Rippling Water Way, Perry, Georgia |
| Authorized Official Name and Position | Tamara Ingram (OWNER) |
| Authorized Official Contact | 4782338719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Forward Behavioral Therapy Llc 324 Rippling Water Way Perry GA 31069-9448 Ph: (478) 302-0224 | Lotus Forward Behavioral Therapy Llc 324 Rippling Water Way Perry GA 31069-9448 Ph: (478) 302-0224 |
| NPI Number | 1376492785 |
|---|---|
| Provider Enumeration Date | 01/27/2026 |
| Last Update Date | 01/27/2026 |
| Certification Date | 01/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376492785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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