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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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