| Lotus Root Counseling Pllc | |
|
1935 W Belmont Ave Apt 3 Chicago IL 60657-8650 | |
| (412) 418-5121 | |
| (773) 595-3685 |
| Full Name | Lotus Root Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1935 W Belmont Ave Apt 3, Chicago, Illinois |
| Authorized Official Name and Position | Yi Long (OWNER) |
| Authorized Official Contact | 3126005601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Root Counseling Pllc 1935 W Belmont Ave Apt 3 Chicago IL 60657-8650 Ph: (412) 418-5121 | Lotus Root Counseling Pllc 1935 W Belmont Ave Apt 3 Chicago IL 60657-8650 Ph: (412) 418-5121 |
| NPI Number | 1992381461 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992381461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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