MEDICARE: LOTUS 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	71505	TX

General Provider Information

NPI Number	:	1548783459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOTUS COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	1400 N COIT RD STE 506
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6657
Country	:	US
Telephone Number	:	469-616-6187
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 N COIT RD STE 506
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6657
Country	:	US
Telephone Number	:	469-616-6187
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH COUNSELOR
Name	:	JENNIFER LE
Credential	:	LPC
Telephone Number	:	469-616-6187

Provider Enumeration Date	:	07/23/2017
Last Update Date	:	12/10/2023

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