| Ivory Lotus Therapy | |
|
225 Ne Dartmoor Dr Ste 300 Waukee IA 50263-9665 | |
| (515) 650-2454 | |
| Not Available |
| Full Name | Ivory Lotus Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 225 Ne Dartmoor Dr Ste 300, Waukee, Iowa |
| Authorized Official Name and Position | Jasmina Pajazetovic (CLINICAL THERAPIST) |
| Authorized Official Contact | 5156502454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivory Lotus Therapy 225 Ne Dartmoor Dr Ste 300 Waukee IA 50263-9665 Ph: (515) 650-2454 | Ivory Lotus Therapy 225 Ne Dartmoor Dr Ste 300 Waukee IA 50263-9665 Ph: (515) 650-2454 |
| NPI Number | 1487370433 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487370433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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