# RISING LOTUS HEALING LLC

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

## Provider details

- **NPI number:** 1700356409
- **Authorized official:** STEPHEN TAYLOR PMHNP-BC (MANAGER)
- **Authorized official phone:** (928) 457-2727

## Contact information

- **Practice address:** 16601 N 40TH ST STE 216, PHOENIX, AZ 85032-3354
- **Practice address phone:** (928) 550-8002
- **Practice address fax:** (928) 707-8500
- **Mailing address:** 16601 N 40TH ST STE 216, PHOENIX, AZ 85032-3354
- **Mailing address phone:** (928) 550-8002
- **Mailing address fax:** (928) 707-8500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/26/2018
- **Last updated:** 06/16/2026
