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Blooming Lotus Counseling, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Pinellas Park, FL. Organization (NPI-2).

NPI number1841767290
StatusActive
Last updated in NPPESOct 24, 2018

Details

NPI
1841767290
Entity type
Organization (NPI-2)
Legal business name
Blooming Lotus Counseling, LLC
Organization subpart
No
Enumeration date
Oct 24, 2018
Last updated
Oct 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

9365 Us Highway 19 N Ste B
Pinellas Park, FL 33782-5400

Phone 727-470-8003

Mailing address

13801 Walsingham Rd Unit 127
Largo, FL 33774-3237

Phone 727-470-8003

Authorized official

Stephanie Campbell
Owner
7274708003

Is something wrong?

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