Organization
LOTUS THERAPEUTIC SERVICES
Active
Organization
LOTUS THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWINA TAYLOR FLOWERS LPC (OWNER)
(404) 512-3244
Entity
Organization
Contact information
Practice address
2900 CHAMBLEE TUCKER RD, ATLANTA, GA 30341-4100
(833) 902-0680
Mailing address
5024 STONEY POINT CIR, STONE MOUNTAIN, GA 30088-3735
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891330221
INDIVIDUAL NPI
—
Enumeration date
01/22/2020
Last updated
06/18/2020
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