Organization
LOTUS HOLISTIC HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN SMITH (BUSINESS MANAGER)
(602) 492-7632
Entity
Organization
Contact information
Practice address
22424 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142-7026
(602) 492-7632
Mailing address
22424 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142-7026
(602) 492-7632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
12/22/2024
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