<Unavail>

LBN: The Lotus Haven Pc
<Unavail> is an health care organization with primary practice located at 950 Dannon Vw Sw Ste 4101 , Atlanta GA 30331-2159. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. The Lotus Haven Pc can be contacted via phone (404) 944-1174, or through Gainey- Grant, Tyronjala via phone (404) 944-1174.

Contact Information

Primary practice address
950 Dannon Vw Sw Ste 4101 Atlanta GA 30331-2159
Phone: (404) 944-1174
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gainey- Grant, Tyronjala Nurse Practitioner (NP)
Phone: (404) 944-1174

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1164035564
LBN Legal business name The Lotus Haven Pc
DBA Doing business as <Unavail>
Authorized official Gainey- Grant, Tyronjala Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2020
Last updated Dec 9th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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