# UNEVEN LOTUS YOGA, LLC

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

## Provider details

- **NPI number:** 1821961087
- **Authorized official:** ANGELA GOLLADAY ERYT200, YACEP (REGISTERED YOGA TEACHER)
- **Authorized official phone:** (616) 805-9195

## Contact information

- **Practice address:** 355 48TH ST SE, KENTWOOD, MI 49548-4407
- **Practice address phone:** (616) 805-9195
- **Mailing address:** 5935 CRESTMOOR DR SE, KENTWOOD, MI 49508-6511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |
| 175T00000X | Peer Specialist | — | NULL | — |
| 175T00000X | Peer Specialist | — | — | — |

## Other

- **Enumeration date:** 09/24/2025
- **Last updated:** 09/29/2025