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General NPI Number Information
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NPI Number | 1174180079
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Entity Type | Organization
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Legal Business Name | LOTUS RISING COUNSELING AND WELLNESS, LLC
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Dates
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Enumeration Date | 05/26/2019
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 5650 BLAZER PKWY STE 192
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City | DUBLIN
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State | OH
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Zip | 43017-3562
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Country | US
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Telephone | 614-602-1508
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Fax |
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Provider Business Mailing Address
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Address Line | 5650 BLAZER PKWY STE 192
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City | DUBLIN
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State | OH
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Zip | 43017-3562
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Country | US
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Telephone | 614-602-1508
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MARISA RAE CHOVAN
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Credential | LPCC-S
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Telephone | 614-602-1508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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