| Peaceful Lotus Therapy, Llc | |
|
100 River Pl Ste 260 Monona WI 53716-4043 | |
| (608) 440-9004 | |
| Not Available |
| Full Name | Peaceful Lotus Therapy, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 100 River Pl Ste 260, Monona, Wisconsin |
| Authorized Official Name and Position | Lacey N Schmidt (OWNER) |
| Authorized Official Contact | 6084409004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Lotus Therapy, Llc Po Box 153 Oregon WI 53575-0153 Ph: (608) 440-9004 | Peaceful Lotus Therapy, Llc 100 River Pl Ste 260 Monona WI 53716-4043 Ph: (608) 440-9004 |
| NPI Number | 1598530305 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 2062857022 |
|---|---|
| Medicare Enrollment ID | O20240229000967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598530305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Lacey N Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982016093 PECOS PAC ID: 6901197417 Enrollment ID: I20160614000037 |
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