Organization
PURPLE LOTUS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN N HUSKEY LCSW (OWNER)
(920) 543-5583
Entity
Organization
Contact information
Practice address
420 E LONGVIEW DR STE B, APPLETON, WI 54911-2102
(920) 543-5583
Mailing address
420 E LONGVIEW DR STE B, APPLETON, WI 54911-2102
(920) 543-5583
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/27/2018
Last updated
08/19/2021
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