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General NPI Number Information
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NPI Number | 1912879925
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Entity Type | Organization
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Legal Business Name | LOTUS THERAPEUTIC SERVICES, LLC
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 18544 CUSSEWAGO RD
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City | MEADVILLE
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State | PA
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Zip | 16335-3510
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Country | US
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Telephone | 724-650-6711
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Fax |
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Provider Business Mailing Address
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Address Line | 117 S FRANKLIN ST
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City | COCHRANTON
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State | PA
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Zip | 16314-8633
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Country | US
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Telephone | 724-650-6711
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA STININGER
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Credential | LCSW
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Telephone | 724-650-6711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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