Provider Demographics
NPI:1073148979
Name:THE WAY OF THE LOTUS COUNSELING AND WELLNESS, LLC
Entity Type:Organization
Organization Name:THE WAY OF THE LOTUS COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:810-221-1822
Mailing Address - Street 1:801 MOORE ST
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-1109
Mailing Address - Country:US
Mailing Address - Phone:810-624-7047
Mailing Address - Fax:
Practice Address - Street 1:401 W FLINT ST
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-1003
Practice Address - Country:US
Practice Address - Phone:810-221-1822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty