| White Lotus Counseling And Enrichment Center, Llc | |
|
431 Lessin Dr Lusby MD 20657-4102 | |
| (443) 214-3625 | |
| Not Available |
| Full Name | White Lotus Counseling And Enrichment Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 431 Lessin Dr, Lusby, Maryland |
| Authorized Official Name and Position | Tiffany Blair (OWNER) |
| Authorized Official Contact | 4432143625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Lotus Counseling And Enrichment Center, Llc Po Box 172 Lusby MD 20657-0172 Ph: () - | White Lotus Counseling And Enrichment Center, Llc 431 Lessin Dr Lusby MD 20657-4102 Ph: (443) 214-3625 |
| NPI Number | 1598386138 |
|---|---|
| Provider Enumeration Date | 05/06/2020 |
| Last Update Date | 05/06/2020 |
| Certification Date | 05/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598386138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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