| Unfolding The Lotus Healing | |
|
455 Delta Ave Cincinnati OH 45226-1127 | |
| (513) 549-1227 | |
| Not Available |
| Full Name | Unfolding The Lotus Healing |
|---|---|
| Speciality | Counselor |
| Location | 455 Delta Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Shanda Inez Mroz (OWNER/THERAPIST) |
| Authorized Official Contact | 5135491227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unfolding The Lotus Healing 20464 Longview Dr Lawrenceburg IN 47025-9019 Ph: (513) 939-9236 | Unfolding The Lotus Healing 455 Delta Ave Cincinnati OH 45226-1127 Ph: (513) 549-1227 |
| NPI Number | 1174394266 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 7416496732 |
|---|---|
| Medicare Enrollment ID | O20240829002941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174394266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shanda I Mroz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700202744 PECOS PAC ID: 9234678558 Enrollment ID: I20240829003129 |
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