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Organization

INSPIRING LOTUS HEALING SANCTUARY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JENNIFER LYNN KINZIE MS, LPC, LMHC (OWNER/DIRECTOR)
(315) 591-6605
Entity
Organization

Contact information

Practice address
923 FIRST COLONIAL RD STE 1817, VIRGINIA BEACH, VA 23454-3182
(315) 591-6605
(757) 512-5714
Mailing address
4001 COUNTY ST, PORTSMOUTH, VA 23707-2903
(315) 591-6605

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor

Other

Enumeration date
09/17/2019
Last updated
05/13/2020
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