| Lotus Therapeutic Services | |
|
2900 Chamblee Tucker Rd Atlanta GA 30341-4100 | |
| (833) 902-0680 | |
| Not Available |
| Full Name | Lotus Therapeutic Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2900 Chamblee Tucker Rd, Atlanta, Georgia |
| Authorized Official Name and Position | Edwina Taylor Flowers (OWNER) |
| Authorized Official Contact | 4045123244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Therapeutic Services 5024 Stoney Point Cir Stone Mountain GA 30088-3735 Ph: () - | Lotus Therapeutic Services 2900 Chamblee Tucker Rd Atlanta GA 30341-4100 Ph: (833) 902-0680 |
| NPI Number | 1316577091 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 06/18/2020 |
| Certification Date | 06/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316577091 | NPI | - | NPPES |
| 1891330221 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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