| Mindful Lotus Counseling, Llc | |
|
559 Main St Ste 256 Bethlehem PA 18018-5881 | |
| (484) 505-8640 | |
| Not Available |
| Full Name | Mindful Lotus Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 559 Main St Ste 256, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Tara A Smith (OWNER) |
| Authorized Official Contact | 4845058640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Lotus Counseling, Llc 559 Main St Ste 256 Bethlehem PA 18018-5881 Ph: (484) 505-8640 | Mindful Lotus Counseling, Llc 559 Main St Ste 256 Bethlehem PA 18018-5881 Ph: (484) 505-8640 |
| NPI Number | 1255145215 |
|---|---|
| Provider Enumeration Date | 02/01/2025 |
| Last Update Date | 02/01/2025 |
| Certification Date | 02/01/2025 |
| Medicare PECOS PAC ID | 0941723779 |
|---|---|
| Medicare Enrollment ID | O20250402000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255145215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tara Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184287864 PECOS PAC ID: 2961933668 Enrollment ID: I20241004003425 |
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