| Lotus Renewal And Wellness Center, Inc | |
|
9742 George Washington Memorial Hwy Gloucester VA 23061-4187 | |
| (804) 220-6321 | |
| Not Available |
| Full Name | Lotus Renewal And Wellness Center, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9742 George Washington Memorial Hwy, Gloucester, Virginia |
| Authorized Official Name and Position | Pamela Minor (FOUNDER) |
| Authorized Official Contact | 8042206321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Renewal And Wellness Center, Inc 9742 George Washington Memorial Hwy Gloucester VA 23061-4187 Ph: (804) 220-6321 | Lotus Renewal And Wellness Center, Inc 9742 George Washington Memorial Hwy Gloucester VA 23061-4187 Ph: (804) 220-6321 |
| NPI Number | 1679329155 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679329155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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