| Lotus Counseling Center | |
|
4660 Slater Rd Ste 145 Eagan MN 55122-4047 | |
| (507) 456-4703 | |
| Not Available |
| Full Name | Lotus Counseling Center |
|---|---|
| Speciality | Psychologist |
| Location | 4660 Slater Rd Ste 145, Eagan, Minnesota |
| Authorized Official Name and Position | Rachael Anna Britton (CLINICAL PSYCHOLOGIST/CO-OWNER) |
| Authorized Official Contact | 6514409159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Counseling Center 4660 Slater Rd Ste 145 Eagan MN 55122-4047 Ph: (651) 440-9159 | Lotus Counseling Center 4660 Slater Rd Ste 145 Eagan MN 55122-4047 Ph: (507) 456-4703 |
| NPI Number | 1659906188 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Medicare PECOS PAC ID | 5092124339 |
|---|---|
| Medicare Enrollment ID | O20210517002167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659906188 | NPI | - | NPPES |
| Provider Name | Rachael Britton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558648774 PECOS PAC ID: 9638472863 Enrollment ID: I20160122000366 |
| Provider Name | Dallas Teal Cossalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851066195 PECOS PAC ID: 5597153817 Enrollment ID: I20211019001798 |
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