Healthcare Provider Details

I. General information

NPI: 1699638148
Provider Name (Legal Business Name): LOTUS MENTAL HEALTH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 100TH ST STE 207
URBANDALE IA
50322-3851
US

IV. Provider business mailing address

2900 100TH ST STE 207
URBANDALE IA
50322-3851
US

V. Phone/Fax

Practice location:
  • Phone: 515-313-5464
  • Fax: 515-257-7678
Mailing address:
  • Phone: 515-313-5464
  • Fax: 515-257-7678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JULIE HEWITT
Title or Position: OWNER
Credential:
Phone: 515-313-5464