Organization
LOTUS HEALTH & COUNSELING CENTER LLC
Active
Other names
Lotus Health & Counseling Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIURYS REGALON (OWNER)
(786) 574-0261
Entity
Organization
Contact information
Practice address
8500 SW 92ND ST STE 106B, MIAMI, FL 33156-7379
(305) 720-6118
(786) 401-7881
Mailing address
13727 SW 152ND ST STE 931, MIAMI, FL 33177-1106
(786) 800-1093
(786) 401-7881
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-------
AHCA LICENSE
FL
05
—
---------
—
FL
Enumeration date
06/16/2020
Last updated
09/30/2020
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