# LOTUS LIFE LLC

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

## Provider details

- **NPI number:** 1780274316
- **Authorized official:** TRACEY BAUGHER (OWNER)
- **Authorized official phone:** (913) 850-9969

## Contact information

- **Practice address:** 12310 S ACUFF LN, OLATHE, KS 66062-5909
- **Practice address phone:** (913) 850-9969
- **Mailing address:** 11936 W 119TH ST STE 173, OVERLAND PARK, KS 66213-2216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 01/18/2021
- **Last updated:** 01/18/2021