# IVORY LOTUS THERAPY

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

## Provider details

- **NPI number:** 1487370433
- **Authorized official:** JASMINA PAJAZETOVIC LMHC, NCC (CLINICAL THERAPIST)
- **Authorized official phone:** (515) 650-2454

## Contact information

- **Practice address:** 225 NE DARTMOOR DR STE 300, WAUKEE, IA 50263-9665
- **Practice address phone:** (515) 650-2454
- **Mailing address:** 225 NE DARTMOOR DR STE 300, WAUKEE, IA 50263-9665
- **Mailing address phone:** (515) 650-2454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2022
- **Last updated:** 03/27/2023