| Rising Lotus Therapy Services, Pllc | |
|
1401 Malvern Ave Ste 200a Hot Springs AR 71901-6371 | |
| (501) 318-8190 | |
| (844) 799-3414 |
| Full Name | Rising Lotus Therapy Services, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 Malvern Ave Ste 200a, Hot Springs, Arkansas |
| Authorized Official Name and Position | Leslie J Chesshir (OWNER) |
| Authorized Official Contact | 5013188190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Lotus Therapy Services, Pllc 1401 Malvern Ave Ste 200a Hot Springs AR 71901-6371 Ph: (501) 318-8190 | Rising Lotus Therapy Services, Pllc 1401 Malvern Ave Ste 200a Hot Springs AR 71901-6371 Ph: (501) 318-8190 |
| NPI Number | 1659863967 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 06/01/2018 |
| Medicare PECOS PAC ID | 5799030136 |
|---|---|
| Medicare Enrollment ID | O20180626001823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659863967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 3521-C (Arkansas) | Primary |
| Provider Name | Leslie J Chesshir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538408406 PECOS PAC ID: 0547545436 Enrollment ID: I20170315001451 |
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