| Lotus Nest Counseling Services Llc | |
|
110 Windsor Ave Americus GA 31709-3531 | |
| (229) 596-1199 | |
| (229) 596-1200 |
| Full Name | Lotus Nest Counseling Services Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 110 Windsor Ave, Americus, Georgia |
| Authorized Official Name and Position | Brianna Rae Brown (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2295961199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Nest Counseling Services Llc 110 Windsor Ave Americus GA 31709-3531 Ph: (229) 596-1199 | Lotus Nest Counseling Services Llc 110 Windsor Ave Americus GA 31709-3531 Ph: (229) 596-1199 |
| NPI Number | 1073129896 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Medicare PECOS PAC ID | 1759814684 |
|---|---|
| Medicare Enrollment ID | O20241030001496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073129896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Brianna Rae Brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447774195 PECOS PAC ID: 2668905597 Enrollment ID: I20241030001792 |
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