Organization · Type 2 NPI

Living Lotus

Mental Health Counselor · Braselton, GA

NPI number 1265304562 Active

Practice location

300 Broadway Avenue
Braselton, GA 30517

Fax (706) 310-8113

Mailing address

PO Box 637
Braselton, GA 30517-0011

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265304562

Living Lotus's National Provider Identifier is 1265304562, issued on Sep 18, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Braselton, GA. The record was last updated on Sep 18, 2025.