MEDICARE: ZENKI LOTUS INSTITUTE

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1922934702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENKI LOTUS INSTITUTE

Provider Business Mailing Address
First Line	:	503 HASTINGS ST
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-3435
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	503 HASTINGS ST
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-3435
Country	:	US
Telephone Number	:	231-620-0472
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MICHAEL DEAGRO
Credential	:	LPC
Telephone Number	:	231-620-0472

Provider Enumeration Date	:	06/20/2026
Last Update Date	:	06/20/2026

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Directions to “ZENKI LOTUS INSTITUTE ” Practice Location

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