Organization
BLACK LOTUS COUNSELING
Active
Other names
Rebellious Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M KELLER MS, LPC, LCPC (OWNER)
(484) 599-6420
Entity
Organization
Contact information
Practice address
10 S LOS ROBLES CT, READING, PA 19606-1535
(702) 350-6107
Mailing address
1167 BERKSHIRE BLVD # 1033, WYOMISSING, PA 19610-1244
(484) 599-2640
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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