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Organization
LOTUS LIFE LLC
Active
Organization
LOTUS LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY BAUGHER (OWNER)
(913) 850-9969
Entity
Organization
Contact information
Practice address
12310 S ACUFF LN, OLATHE, KS 66062-5909
(913) 850-9969
Mailing address
11936 W 119TH ST STE 173, OVERLAND PARK, KS 66213-2216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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