| Lotus Holistic Healthcare | |
|
22424 S Ellsworth Loop Rd Queen Creek AZ 85142-7026 | |
| (602) 492-7632 | |
| Not Available |
| Full Name | Lotus Holistic Healthcare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22424 S Ellsworth Loop Rd, Queen Creek, Arizona |
| Authorized Official Name and Position | Mary Ann Smith (BUSINESS MANAGER) |
| Authorized Official Contact | 6024927632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Holistic Healthcare 22424 S Ellsworth Loop Rd Queen Creek AZ 85142-7026 Ph: (602) 492-7632 | Lotus Holistic Healthcare 22424 S Ellsworth Loop Rd Queen Creek AZ 85142-7026 Ph: (602) 492-7632 |
| NPI Number | 1083432686 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 12/22/2024 |
| Certification Date | 12/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083432686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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