Provider Demographics
NPI:1497492219
Name:LAVENDER LOTUS REIKI CENTTER FOR NATURAL HEALINGS
Entity Type:Organization
Organization Name:LAVENDER LOTUS REIKI CENTTER FOR NATURAL HEALINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REIKI MASTER
Authorized Official - Prefix:
Authorized Official - First Name:ARLINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKWELL-EL
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED
Authorized Official - Phone:607-760-9608
Mailing Address - Street 1:832 CHESTNUT ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-5434
Mailing Address - Country:US
Mailing Address - Phone:607-760-9608
Mailing Address - Fax:
Practice Address - Street 1:832 CHESTNUT ST STE 102
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-5434
Practice Address - Country:US
Practice Address - Phone:607-760-9608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution