| Lotus Valley Health And Wellness, Llc | |
|
1820 Central Ave Ste K Hot Springs AR 71901-6898 | |
| (501) 463-6969 | |
| (501) 915-1557 |
| Full Name | Lotus Valley Health And Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1820 Central Ave Ste K, Hot Springs, Arkansas |
| Authorized Official Name and Position | Tracy Terwilliger (PRES/CEO) |
| Authorized Official Contact | 5015208696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Valley Health And Wellness, Llc 291 Crestview Dr Hot Springs AR 71913-6968 Ph: (501) 520-8696 | Lotus Valley Health And Wellness, Llc 1820 Central Ave Ste K Hot Springs AR 71901-6898 Ph: (501) 463-6969 |
| NPI Number | 1427797265 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 05/12/2023 |
| Medicare PECOS PAC ID | 3678957966 |
|---|---|
| Medicare Enrollment ID | O20220906002101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427797265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Carol A Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124159306 PECOS PAC ID: 6901971217 Enrollment ID: I20080821000331 |
| Provider Name | Tad C Tillemans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346459765 PECOS PAC ID: 3072676246 Enrollment ID: I20090114000317 |
| Provider Name | Lisa D Kilcrease |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053439836 PECOS PAC ID: 7214126010 Enrollment ID: I20110110000577 |
| Provider Name | Ashley Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063054955 PECOS PAC ID: 8022444249 Enrollment ID: I20200207000204 |
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