| Simply Lotus Health Pllc | |
|
1224 Mill Street, Building B Suite 224 East Berlin CT 06023-1159 | |
| (860) 365-9479 | |
| (878) 201-5398 |
| Full Name | Simply Lotus Health Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1224 Mill Street, Building B, East Berlin, Connecticut |
| Authorized Official Name and Position | Hye Sil Adams (PMHNP-BC) |
| Authorized Official Contact | 8603659479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Lotus Health Pllc 1224 Mill Street, Building B Suite 224 East Berlin CT 06023-1159 Ph: (860) 365-9479 | Simply Lotus Health Pllc 1224 Mill Street, Building B Suite 224 East Berlin CT 06023-1159 Ph: (860) 365-9479 |
| NPI Number | 1982329884 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982329884 | NPI | - | NPPES |
| 8749 | Other | CT | CT BOARD OF NURSING APRN LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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