Organization
RISING LOTUS HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN TAYLOR PMHNP-BC (MANAGER)
(928) 457-2727
Entity
Organization
Contact information
Practice address
320 N LEROUX ST STE C, FLAGSTAFF, AZ 86001-4535
(928) 550-8002
(520) 305-4304
Mailing address
PO BOX 1324, FLAGSTAFF, AZ 86002-1324
(928) 550-8002
(928) 707-8500
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
06/25/2020
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