| Lotus Holistic Wellness | |
|
77 E Main St Ste 406 Westminster MD 21157-5037 | |
| (410) 861-0073 | |
| Not Available |
| Full Name | Lotus Holistic Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 77 E Main St Ste 406, Westminster, Maryland |
| Authorized Official Name and Position | Ericka Walters (OWNER) |
| Authorized Official Contact | 2672317426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Holistic Wellness 77 E Main St Ste 406 Westminster MD 21157-5037 Ph: (410) 861-0073 | Lotus Holistic Wellness 77 E Main St Ste 406 Westminster MD 21157-5037 Ph: (410) 861-0073 |
| NPI Number | 1366042772 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Medicare PECOS PAC ID | 6709296932 |
|---|---|
| Medicare Enrollment ID | O20201029001316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366042772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ericka M Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013419837 PECOS PAC ID: 1951711183 Enrollment ID: I20201029001562 |
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