| Lotus Place Counseling Llc | |
|
103 Hillcrest Dr Clinton MS 39056-4309 | |
| (601) 427-5158 | |
| (601) 429-1615 |
| Full Name | Lotus Place Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 103 Hillcrest Dr, Clinton, Mississippi |
| Authorized Official Name and Position | Jennifer Sigrest (MEMBER) |
| Authorized Official Contact | 6014275158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Place Counseling Llc Po Box 361 Clinton MS 39060-0361 Ph: (601) 427-5158 | Lotus Place Counseling Llc 103 Hillcrest Dr Clinton MS 39056-4309 Ph: (601) 427-5158 |
| NPI Number | 1548797889 |
|---|---|
| Provider Enumeration Date | 05/17/2017 |
| Last Update Date | 10/13/2021 |
| Certification Date | 10/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548797889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0552 (Mississippi) | Primary |
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