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General NPI Number Information
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NPI Number | 1861370280
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Entity Type | Organization
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Legal Business Name | LOTUS, PLLC
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 315 N MAIN ST
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City | PICAYUNE
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State | MS
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Zip | 39466-3313
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Country | US
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Telephone | 769-242-0087
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Fax | 769-926-2442
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Provider Business Mailing Address
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Address Line | 301 EDGEWOOD DR
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City | CARRIERE
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State | MS
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Zip | 39426-7731
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Country | US
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Telephone | 601-569-9017
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Fax | 769-926-2441
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MEGAN MITCHELL
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Credential | PMHNP
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Telephone | 769-242-0087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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