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General NPI Number Information
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NPI Number | 1245976422
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Entity Type | Organization
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Legal Business Name | PURPLE LOTUS WELLNESS LLC
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 6313 EADS ST
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City | NEW ORLEANS
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State | LA
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Zip | 70122-6511
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Country | US
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Telephone | 347-301-1348
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Fax |
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Provider Business Mailing Address
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Address Line | 6313 EADS ST
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City | NEW ORLEANS
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State | LA
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Zip | 70122-6511
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Country | US
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Telephone | 347-301-1348
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEOTHA FOSTER
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Credential | LPC, LMHC
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Telephone | 347-301-1348
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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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