| Living Lotus Counseling, Pllc | |
|
621a S Lafayette St Shelby NC 28150-5807 | |
| (704) 692-0723 | |
| (704) 837-2022 |
| Full Name | Living Lotus Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 621a S Lafayette St, Shelby, North Carolina |
| Authorized Official Name and Position | Sarah N Philbeck (OWNER) |
| Authorized Official Contact | 7046920723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Lotus Counseling, Pllc 757 Wallace Grove Dr Shelby NC 28150-8325 Ph: (704) 692-0723 | Living Lotus Counseling, Pllc 621a S Lafayette St Shelby NC 28150-5807 Ph: (704) 692-0723 |
| NPI Number | 1154808293 |
|---|---|
| Provider Enumeration Date | 07/22/2018 |
| Last Update Date | 05/19/2022 |
| Certification Date | 05/19/2022 |
| Medicare PECOS PAC ID | 9032590112 |
|---|---|
| Medicare Enrollment ID | O20220720002994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154808293 | NPI | - | NPPES |
| 6870 | Other | NC | NCBLPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer C Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639581135 PECOS PAC ID: 1658636204 Enrollment ID: I20180531001507 |
| Provider Name | Sarah Philbeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811175276 PECOS PAC ID: 0749661825 Enrollment ID: I20231227000360 |
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