| Lotus Bloom Counseling, LLC | |
|
700 S 8th Ave Brandon SD 57005-1772 | |
| (509) 845-0117 | |
| Not Available |
| Full Name | Lotus Bloom Counseling, LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 700 S 8th Ave, Brandon, South Dakota |
| Authorized Official Name and Position | Shannalee Mask (OWNER) |
| Authorized Official Contact | 5098450117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Bloom Counseling, LLC 700 S 8th Ave Brandon SD 57005-1772 Ph: (509) 845-0117 | Lotus Bloom Counseling, LLC 700 S 8th Ave Brandon SD 57005-1772 Ph: (509) 845-0117 |
| NPI Number | 1568373991 |
|---|---|
| Provider Enumeration Date | 09/15/2026 |
| Last Update Date | 09/15/2026 |
| Certification Date | 09/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568373991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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