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General NPI Number Information
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NPI Number | 1609742527
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Entity Type | Organization
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Legal Business Name | YELLOW LOTUS CLINICAL SERVICES FOR HEALING & WELLNESS PLLC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 2628 WINDING CREEK TRL
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City | NORTH PORT
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State | FL
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Zip | 34289-2408
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Country | US
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Telephone | 989-278-8085
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Fax | 941-866-3595
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Provider Business Mailing Address
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Address Line | 2628 WINDING CREEK TRL
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City | NORTH PORT
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State | FL
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Zip | 34289-2408
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Country | US
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Telephone | 989-278-8085
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Fax | 941-866-3595
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | MRS. REBECCA M LENNING
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Credential | LPC
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Telephone | 989-560-5698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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