=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699638148
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOTUS MENTAL HEALTH COUNSELING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/03/2025
-----------------------------------------------------
Last Update Date | 12/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2900 100TH ST STE 207
-----------------------------------------------------
City | URBANDALE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50322-3851
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-313-5464
-----------------------------------------------------
Fax | 515-257-7678
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2900 100TH ST STE 207
-----------------------------------------------------
City | URBANDALE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50322-3851
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-313-5464
-----------------------------------------------------
Fax | 515-257-7678
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JULIE HEWITT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 515-313-5464
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------