Organization · Type 2 NPI
The Lotus Haven PC
Psychiatric/Mental Health Nurse Practitioner · Atlanta, GA
NPI number
1164035564
Active
Practice location
950 Dannon Vw SW Ste 4101
Atlanta, GA 30331-2159
Mailing address
425 Dutchview Dr
Atlanta, GA 30349-7642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1164035564
The Lotus Haven PC's National Provider Identifier is 1164035564, issued on Aug 25, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Atlanta, GA. The record was last updated on Dec 9, 2024.