Organization
BLOOMING LOTUS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CAMPBELL LMHC (OWNER)
(727) 470-8003
Entity
Organization
Contact information
Practice address
9365 US HIGHWAY 19 N STE B, PINELLAS PARK, FL 33782-5400
(727) 470-8003
Mailing address
13801 WALSINGHAM RD UNIT 127, LARGO, FL 33774-3237
(727) 470-8003
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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