| Lotus Hope & Healing, Llc | |
|
1850 Austin Rd Ste 100 Owatonna MN 55060-4498 | |
| (507) 676-5932 | |
| Not Available |
| Full Name | Lotus Hope & Healing, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1850 Austin Rd Ste 100, Owatonna, Minnesota |
| Authorized Official Name and Position | Kasey Jo Bishman (CLINICAL SOCIAL WORKER/THERAPIST) |
| Authorized Official Contact | 6512837656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Hope & Healing, Llc 1925 Pheasant Run Dr Ne Owatonna MN 55060-3208 Ph: (651) 283-7656 | Lotus Hope & Healing, Llc 1850 Austin Rd Ste 100 Owatonna MN 55060-4498 Ph: (507) 676-5932 |
| NPI Number | 1508629783 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 6608216650 |
|---|---|
| Medicare Enrollment ID | O20240424003807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508629783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kasey J Bishman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619190220 PECOS PAC ID: 8123124658 Enrollment ID: I20070430000571 |
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