Provider Demographics
NPI:1265101448
Name:LOTUS HOLISTIC HEALTH, LLC
Entity type:Organization
Organization Name:LOTUS HOLISTIC HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:CHARITY
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:757-289-8471
Mailing Address - Street 1:11747 JEFFERSON AVE STE 6C
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-1998
Mailing Address - Country:US
Mailing Address - Phone:757-289-8471
Mailing Address - Fax:
Practice Address - Street 1:11747 JEFFERSON AVE STE 6C
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-1998
Practice Address - Country:US
Practice Address - Phone:757-289-8471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty