Provider Demographics
NPI:1154197135
Name:LOTUS COUNSELING AND BEHAVOIRAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:LOTUS COUNSELING AND BEHAVOIRAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANYELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEYMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:501-276-4845
Mailing Address - Street 1:100 RIDGEWAY ST STE 1
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7155
Mailing Address - Country:US
Mailing Address - Phone:501-276-4845
Mailing Address - Fax:501-414-3339
Practice Address - Street 1:100 RIDGEWAY ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7145
Practice Address - Country:US
Practice Address - Phone:501-276-4845
Practice Address - Fax:501-423-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR316017744Medicaid