Lotus Wellness LLC

NPI #1487347175 in Phoenix, Arizona

Provider Information

NPI Number: 1487347175
Entity Type: Organization
Organization Name: Lotus Wellness LLC
Primary Specialty: Behavior Technician
Enumeration Date: May 30, 2023
Last Updated: May 30, 2023

Practice Location

Address: 3877 N 7TH ST STE 150
City: Phoenix
State: Arizona
ZIP Code: 85014-5086
Phone: (301) 583-6813

Authorized Official

Name: ALEX KASIBANTE
Title: CEO
Phone: (301) 583-6813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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