| Blue Lotus Counseling , Llc | |
|
223 E Main St Ste 401 Rock Hill SC 29730-4571 | |
| (803) 960-5429 | |
| (877) 752-1347 |
| Full Name | Blue Lotus Counseling , Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 223 E Main St Ste 401, Rock Hill, South Carolina |
| Authorized Official Name and Position | Jamesa Dashant Motley (CLINICIAN) |
| Authorized Official Contact | 8039605429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Lotus Counseling , Llc Po Box 4965 Rock Hill SC 29732-6965 Ph: (803) 960-5429 | Blue Lotus Counseling , Llc 223 E Main St Ste 401 Rock Hill SC 29730-4571 Ph: (803) 960-5429 |
| NPI Number | 1417511510 |
|---|---|
| Provider Enumeration Date | 04/24/2019 |
| Last Update Date | 04/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417511510 | NPI | - | NPPES |
| PC1594 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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