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Contact Information

BLOOMING LOTUS LLC
3560 DELAWARE ST STE 209
BEAUMONT, TX77706-3059
 Phone: 409-239-0971
 Fax: 409-292-2100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Licensed Psychiatric Technician

167G00000X
 

Mental Health

101YM0800X
 

Psychiatric/Mental Health, Child & Adolescent

163WP0807X
 

Psychiatric/Mental Health, Child & Family

364SP0810X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for BLOOMING LOTUS LLC · (Female)

NPI # 1093304925
Status Active
Credentials
Entity Individual
Enumeration date 01/14/2021
Last updated 01/14/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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