| The Smiling Lotus, Llc | |
|
204 E Ballard St Telehealth Roswell NM 88203-1804 | |
| (575) 244-4472 | |
| Not Available |
| Full Name | The Smiling Lotus, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 204 E Ballard St, Roswell, New Mexico |
| Authorized Official Name and Position | Martha Villarreal (OWNER) |
| Authorized Official Contact | 5053281471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smiling Lotus, Llc 204 E Ballard St Roswell NM 88203-1804 Ph: () - | The Smiling Lotus, Llc 204 E Ballard St Telehealth Roswell NM 88203-1804 Ph: (575) 244-4472 |
| NPI Number | 1295567253 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295567253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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