NPI Code Detail JSON Logo

1851289565 NPI number — BLUE LOTUS FAMILY THERAPY

NPI Number: 1851289565
Health Care Provider/Practitioner: BLUE LOTUS FAMILY THERAPY

Information about “1851289565” NPI (BLUE LOTUS FAMILY THERAPY) exists in 1851289565 in HTML format HTML  |  1851289565 in plain Text format TXT  |  1851289565 in PDF (Portable Document Format) PDF  |  1851289565 in an XML format XML  formats.

NPI Number : 1851289565 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851289565",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BLUE LOTUS FAMILY THERAPY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11585 JONES BRIDGE RD, STE 420 UNIT # 176",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JOHNS CREEK, GA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30022",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-609-9844",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "410 PEACH TREE PARKWAY SUITE 425",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CUMMING",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30041",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-609-9844",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/24/2025",
    "LastUpdateDate": "06/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LANCASTER",
    "AuthorizedOfficialFirstName": "LAUTEASHA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MARRIAGE AND FAMILY THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MASTERS",
    "AuthorizedOfficialTelephoneNumber": "770-609-9844",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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