Organization
BLOOMING LOTUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON OSEI MENSAH DO (OWNER)
(409) 291-7616
Entity
Organization
Contact information
Practice address
3560 DELAWARE ST STE 209, BEAUMONT, TX 77706-3059
(409) 239-0971
(409) 292-2100
Mailing address
3560 DELAWARE ST STE 207, BEAUMONT, TX 77706-3059
(409) 291-7616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
167G00000X
Licensed Psychiatric Technician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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