# LOTUS ROSE COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427829902
- **Authorized official:** JOY BOUCHARD (OWNER)
- **Authorized official phone:** (801) 921-1565

## Contact information

- **Practice address:** 237 W 520 N, OREM, UT 84057-4696
- **Practice address phone:** (801) 921-1565
- **Mailing address:** 237 W 520 N, OREM, UT 84057-4696
- **Mailing address phone:** (801) 921-1565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2024
- **Last updated:** 01/12/2024