Provider Demographics
NPI:1073129896
Name:LOTUS NEST COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:LOTUS NEST COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:229-596-1199
Mailing Address - Street 1:110 WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-3531
Mailing Address - Country:US
Mailing Address - Phone:229-596-1199
Mailing Address - Fax:229-596-1200
Practice Address - Street 1:110 WINDSOR AVE
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-3531
Practice Address - Country:US
Practice Address - Phone:229-596-1199
Practice Address - Fax:229-596-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty