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NPI Code Detail

MEDICARE: HEALING LOTUS PARTNERS LLC

MEDICARE: HEALING LOTUS PARTNERS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center
3261QM0855XAdolescent and Children Mental Health Clinic/Center
4251S00000XCommunity/Behavioral Health Agency
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1871358416
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING LOTUS PARTNERS LLC
Provider Business Mailing Address
First Line : 6874 TRUFFLE GRAY ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4375
Country : US
Telephone Number : 859-468-1780
Fax Number :
Provider Business Practice Location Address
First Line : 6874 TRUFFLE GRAY ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4375
Country : US
Telephone Number : 702-712-0229
Fax Number :
Authorized Official
Title or Position : ASSIGNED PROVIDER
Name : JAYME E KELLY
Credential : NP
Telephone Number : 859-468-1780
Provider Enumeration Date : 02/13/2024
Last Update Date : 12/16/2025

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Directions to “HEALING LOTUS PARTNERS LLC ” Practice Location

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