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General NPI Number Information
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NPI Number | 1265387997
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Entity Type | Organization
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Legal Business Name | NOVA LOTUS WELLNESS LLC
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 7501 N UNIVERSITY ST STE 119-121
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City | PEORIA
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State | IL
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Zip | 61614-1222
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Country | US
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Telephone | 309-839-9706
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Fax |
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Provider Business Mailing Address
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Address Line | 7501 N UNIVERSITY ST STE 119-121
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City | PEORIA
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State | IL
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Zip | 61614-1222
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Country | US
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Telephone | 309-839-9706
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERESA THOMPSON
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Credential | MA, LPC
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Telephone | 309-370-0373
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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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