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Contact Information

LIVING LOTUS
300 BROADWAY AVENUE
BRASELTON, GA30517
 Phone: 470-236-8131
 Fax: 706-310-8113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LIVING LOTUS · (Female)

NPI # 1265304562
Status Active
Credentials
Entity Individual
Enumeration date 09/18/2025
Last updated 09/18/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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