GREEN LOTUS CREATIVE HEALING CENTER LLC NPI 1578078739

NPI Information

NPI: 1578078739
Provider Name: GREEN LOTUS CREATIVE HEALING CENTER LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
49 KENWOOD ST
BERLIN, CT
ZIP 06037
Phone: (860) 470-4304
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GREEN LOTUS CREATIVE HEALING CENTER LLC is a professional counselor in Berlin, CT. GREEN LOTUS CREATIVE HEALING CENTER LLC NPI is 1578078739. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

49 KENWOOD ST
BERLIN, CT
ZIP 06037-016
Phone: (860) 470-4304
Fax: (860) 516-8286

The provider's authorized official is Brittany Quinn .
The authorized official title is Qwner and has the following contact phone number (860) 470-4304.

The enumeration date for this NPI number is 12/11/2017 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	3209	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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