Provider Demographics
NPI:1740020403
Name:LOTUSMINDFLOW COUNSELING, LLC
Entity type:Organization
Organization Name:LOTUSMINDFLOW COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-501-8889
Mailing Address - Street 1:255 S. ORANGE AVENUE
Mailing Address - Street 2:SUITE 104, PMB 1851
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801
Mailing Address - Country:US
Mailing Address - Phone:407-501-8889
Mailing Address - Fax:407-270-2529
Practice Address - Street 1:6735 CONROY ROAD
Practice Address - Street 2:SUITE 410
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835
Practice Address - Country:US
Practice Address - Phone:407-501-8889
Practice Address - Fax:407-270-2529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty