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Organization
LOTUS HEALING, LLC
Active
Organization
LOTUS HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYELA MALONE LCPC (CEO)
(312) 966-9545
Entity
Organization
Contact information
Practice address
1525 E HYDE PARK BLVD, SUITE 525, CHICAGO, IL 60615-3043
(312) 966-9545
Mailing address
1525 E HYDE PARK BLVD, SUITE 525, CHICAGO, IL 60615-3043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180009790
IL
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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