Organization
LOTUS PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA SUE SHREVE MS, LPC, NCC (PSYCHOTHERAPIST)
(304) 612-1582
Entity
Organization
Contact information
Practice address
5000 GREENBAG ROAD,, UNIT E7, MORGANTOWN, WV 26501-2411
(304) 612-1582
Mailing address
5000 GREENBAG ROAD, UNIT E7, MOUNTAINEER MALL, MORGANTOWN, WV 26501
(304) 612-1582
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1896
WV
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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