| Blooming Lotus Wellness Llc | |
|
532 Page St Stoughton MA 02072-6003 | |
| (508) 942-8502 | |
| Not Available |
| Full Name | Blooming Lotus Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 532 Page St, Stoughton, Massachusetts |
| Authorized Official Name and Position | Elizabeth Sergey-kalen (OWNER) |
| Authorized Official Contact | 5089428502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Lotus Wellness Llc Po Box 379 Avon MA 02322-0379 Ph: (508) 942-8502 | Blooming Lotus Wellness Llc 532 Page St Stoughton MA 02072-6003 Ph: (508) 942-8502 |
| NPI Number | 1619795572 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619795572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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