| Lotus Rising Llc | |
|
1750 S Brentwood Blvd Ste 851 Brentwood MO 63144-1396 | |
| (217) 691-2326 | |
| Not Available |
| Full Name | Lotus Rising Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1750 S Brentwood Blvd Ste 851, Brentwood, Missouri |
| Authorized Official Name and Position | Salina Pounds (OWNER) |
| Authorized Official Contact | 2176912326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Rising Llc 12061 Glenrose Dr Maryland Heights MO 63043-1135 Ph: (217) 691-2326 | Lotus Rising Llc 1750 S Brentwood Blvd Ste 851 Brentwood MO 63144-1396 Ph: (217) 691-2326 |
| NPI Number | 1568348308 |
|---|---|
| Provider Enumeration Date | 08/15/2025 |
| Last Update Date | 08/15/2025 |
| Certification Date | 08/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568348308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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