Healthcare Provider Details

I. General information

NPI: 1811876717
Provider Name (Legal Business Name): LOTUS HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 BRANDON CT
BRANCHBURG NJ
08853-4230
US

IV. Provider business mailing address

107 BRANDON CT
BRANCHBURG NJ
08853-4230
US

V. Phone/Fax

Practice location:
  • Phone: 908-268-3696
  • Fax:
Mailing address:
  • Phone: 908-268-3696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DENISE DALEY
Title or Position: OWNER
Credential: APN
Phone: 908-268-3696