| Lotus Foundation, Llc | |
|
1303 Edgewood Dr Jefferson City MO 65109-1943 | |
| (913) 382-2667 | |
| Not Available |
| Full Name | Lotus Foundation, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1303 Edgewood Dr, Jefferson City, Missouri |
| Authorized Official Name and Position | Nicole Saltzman (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 9133822667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Foundation, Llc 13725 Metcalf Ave Unit 312 Overland Park KS 66223-7899 Ph: (913) 382-2667 | Lotus Foundation, Llc 1303 Edgewood Dr Jefferson City MO 65109-1943 Ph: (913) 382-2667 |
| NPI Number | 1972953222 |
|---|---|
| Provider Enumeration Date | 06/17/2016 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972953222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2008007616 (Missouri) | Primary |
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