Organization
LOTUS MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAYLA FENDICK (PMHNP)
(719) 203-1278
Entity
Organization
Contact information
Practice address
1880 OFFICE CLUB PT, COLORADO SPRINGS, CO 80920-5008
(719) 203-1278
Mailing address
1880 OFFICE CLUB PT, COLORADO SPRINGS, CO 80920-5008
(719) 203-1278
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/14/2020
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