Organization
BLOOMING LOTUS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ELIZABETH LINN LCSW (THERAPIST/OWNER)
(636) 336-2996
Entity
Organization
Contact information
Practice address
1236 JUNGERMANN RD STE D, SAINT PETERS, MO 63376-6962
(636) 336-2996
Mailing address
1936 BONNIE BROOK LN, WENTZVILLE, MO 63385-3265
(636) 336-2996
(636) 412-1559
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2012009912
MO
261QM0855X
Adolescent and Children Mental Health Clinic/Center
2012009912
MO
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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