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General NPI Number Information
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NPI Number | 1356249957
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Entity Type | Organization
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Legal Business Name | LOTUS THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 10/26/2026
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Last Update Date | 10/26/2026
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Provider Practice Location Address
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Address Line | W177N9886 RIVERCREST DR STE 105
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City | GERMANTOWN
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State | WI
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Zip | 53022-6407
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Country | US
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Telephone | 262-208-4254
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Fax |
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Provider Business Mailing Address
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Address Line | W177N9886 RIVERCREST DR STE 105
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City | GERMANTOWN
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State | WI
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Zip | 53022-6407
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Country | US
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Telephone | 262-208-4254
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Fax |
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Authorized Official
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Title or Position | OWNER, PSYCHOTHERAPIST
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Name | JENNIFER CHRISTINE EVERTS BEIER
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Credential | MSE, LPC, NCC, PMH-C
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Telephone | 262-208-4254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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