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General NPI Number Information
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NPI Number | 1689293268
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Entity Type | Organization
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Legal Business Name | LOTUS LIFE COUNSELING LLC
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 1106 N CEDAR ST STE 200B
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City | LANSING
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State | MI
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Zip | 48906-5334
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Country | US
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Telephone | 517-599-0613
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Fax |
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Provider Business Mailing Address
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Address Line | 8370 CLARK RD
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City | GRAND LEDGE
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State | MI
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Zip | 48837-9227
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Country | US
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Telephone | 517-303-4274
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR / OWNER
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Name | MRS. ALEXIS ANN SCHNEIDER
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Credential | LPC
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Telephone | 517-599-0613
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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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