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Organization

UNEVEN LOTUS YOGA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA GOLLADAY ERYT200, YACEP (REGISTERED YOGA TEACHER)
(616) 805-9195
Entity
Organization

Contact information

Practice address
355 48TH ST SE, KENTWOOD, MI 49548-4407
(616) 805-9195
Mailing address
5935 CRESTMOOR DR SE, KENTWOOD, MI 49508-6511

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
175T00000X
Peer Specialist

Other

Enumeration date
09/24/2025
Last updated
09/29/2025
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