Healthcare Provider Details

I. General information

NPI: 1609710631
Provider Name (Legal Business Name): LOTUS THERAPEUTIC SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 E COBB DR STE 200
MARIETTA GA
30068-2726
US

IV. Provider business mailing address

4050 LANDOVER CT
AUSTELL GA
30106-3533
US

V. Phone/Fax

Practice location:
  • Phone: 678-463-7623
  • Fax:
Mailing address:
  • Phone: 678-463-7623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMARI BANKS
Title or Position: OWNER
Credential: OTR/L
Phone: 678-463-7623