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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

NPI Number 1093304925
LBN Legal business name BLOOMING LOTUS LLC
Authorized official JASON MENSAH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2021
Last updated 01/14/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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