Provider Demographics
NPI:1740028950
Name:BLUE LOTUS COUNSELING AND WELLNESS PLLC
Entity type:Organization
Organization Name:BLUE LOTUS COUNSELING AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:859-743-4129
Mailing Address - Street 1:250 FOXGLOVE DR STE 6
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-9770
Mailing Address - Country:US
Mailing Address - Phone:859-743-4129
Mailing Address - Fax:859-251-0169
Practice Address - Street 1:250 FOXGLOVE DR STE 6
Practice Address - Street 2:
Practice Address - City:MOUNT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-9770
Practice Address - Country:US
Practice Address - Phone:859-743-4129
Practice Address - Fax:859-251-0169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-20
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty