| Lotus Health Arizona | |
|
2600 E Southern Ave Ste I3 Tempe AZ 85282-7738 | |
| (603) 957-0540 | |
| Not Available |
| Full Name | Lotus Health Arizona |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2600 E Southern Ave Ste I3, Tempe, Arizona |
| Authorized Official Name and Position | Donisha Dawn Pardue (OWNER, CEO) |
| Authorized Official Contact | 6039570540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Health Arizona 3545 W Mauna Loa Ln Phoenix AZ 85053-4653 Ph: (603) 957-0540 | Lotus Health Arizona 2600 E Southern Ave Ste I3 Tempe AZ 85282-7738 Ph: (603) 957-0540 |
| NPI Number | 1922638055 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922638055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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