Organization
GREEN LOTUS WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN L LOCKHART LCSW-S (FOUNDER/OWNER)
(210) 317-5747
Entity
Organization
Contact information
Practice address
1110 HIDDEN ARROW, SAN ANTONIO, TX 78258-2708
(210) 317-5747
Mailing address
1110 HIDDEN ARROW, SAN ANTONIO, TX 78258-2708
(210) 317-5747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396205118
NPPES
TX
Enumeration date
11/06/2023
Last updated
11/06/2023
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