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NPI Code Detail

MEDICARE: THE LOTUS CIRCLE COUNSELING PLLC

MEDICARE: THE LOTUS CIRCLE COUNSELING PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1144948332
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE LOTUS CIRCLE COUNSELING PLLC
Provider Business Mailing Address
First Line : 16423 WILLINGHAM WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77095-3941
Country : US
Telephone Number : 832-605-8715
Fax Number :
Provider Business Practice Location Address
First Line : 15840 FM 529 RD STE 310
Second Line :
City : HOUSTON
State : TX
Zip : 77095-2569
Country : US
Telephone Number : 832-605-8715
Fax Number :
Authorized Official
Title or Position : COUNSELOR
Name : JACKELINE HURTADO
Credential : LPC-S
Telephone Number : 832-605-8715
Provider Enumeration Date : 08/15/2022
Last Update Date : 08/15/2022

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Directions to “THE LOTUS CIRCLE COUNSELING PLLC ” Practice Location

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