THE LOTUS HAVEN PC


Address: 950 Dannon Vw Sw Ste 4101, Atlanta, GA 30331-2159
Phone: 4049441174

THE LOTUS HAVEN PC (NPI# 1164035564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164035564
Entity Type Organization
Organization Name THE LOTUS HAVEN PC
Other Organization Name THE LOTUS HAVEN PC
Practice Address 950 Dannon Vw Sw Ste 4101
Atlanta
GA 30331-2159
Mailing Address 425 Dutchview Dr
Atlanta
GA 30349-7642
Practice Telephone 4049441174
Enumeration Date 2020-08-25
Last Update Date 2020-10-20
Authorized Official Name TYRONJALA GAINEY- GRANT (CEO)
Authorized Official Telephone 4049441174
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center Ambulatory Health Care Facilities
N 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
The Lotus Haven PC Doing Business As Name - Organization

Office Location

Street Address 950 DANNON VW SW STE 4101
City ATLANTA
State GA
Zip Code 30331-2159

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861001174 Whitney Flemister Social Worker 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 2020-07-23
1982237400 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 2020-02-13
1295375558 Drusilla Precious Cudjoe Behavior Technician 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 2020-01-14
1497262778 Champions Pharmacy Pharmacy 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 2018-01-08
1033629779 Carmen Ardoin Counselor 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 2017-10-09
1346759974 Neva R Allison Nurse Practitioner 2611 Dayview Ln, Atlanta, GA 30331 2017-09-26
1538678255 Natalie Mckay Technician/Technologist 3915 Cascade Rd, 220, Atlanta, GA 30331 2017-09-26
1700304268 Tyrone Pipkin Contractor 415 Kendrick Terrace Sw, Atlanta, GA 30331 2017-09-05
1073031688 Kristen Wooldridge Pharmacist 3695 Cascade Road, Atlanta, GA 30331 2017-09-04
1548704687 Advance Pain Management Health Maintenance Organization 2950 Stone Hogan Road Connector, Atlanta, GA 30331 2016-12-08
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124632013 Dunwoody Mental Health Center Clinic/Center 4594 Barclay Dr, Atlanta, GA 30338-5883 2020-09-08
1972120970 Imagine New Beginnings Clinic/Center 3125 Colonial Way Apt J, Atlanta, GA 30341-5339 2020-06-25
1659994705 Paul Smith Counseling and Consulting, LLC Clinic/Center 5180 Roswell Rd Ste 106, Atlanta, GA 30342-2293 2020-05-24
1568091429 Keystone Behavioral Health Center Clinic/Center 3071 Campbellton Rd Sw Ste 2, Atlanta, GA 30311-5441 2020-04-03
1205471695 Mindbrain Institute of Atlanta Clinic/Center 2200 Century Pkwy Ne Ste 200, Atlanta, GA 30345-3103 2019-11-09
1528613437 Kenetta Muhammad Clinic/Center 801 Joseph E Boone Blvd Nw, Atlanta, GA 30314-3344 2019-08-07
1356906929 Lenox Pointe Psychotherapy, LLC Clinic/Center 6 Lenox Pointe Ne, Atlanta, GA 30324-3167 2019-05-08
1205352093 Elite Rose Healthcare Services P.C. Clinic/Center 2783 Santa Barbara Dr Nw, Atlanta, GA 30318-7326 2017-08-14
1417478439 Reexist Counseling LLC Clinic/Center 1955 Vance Drive Ne, Atlanta, GA 30345 2017-06-29
1215358015 Living Fully Psychotherapy and Consulting, LLC Clinic/Center 1463 Oxford Rd Ne, Atlanta, GA 30322-1046 2013-12-20
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Competitor

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City ATLANTA
Zip Code 30331

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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