Provider Demographics
NPI:1215247408
Name:FIRST LOTUS COUNSELING, PLLC
Entity type:Organization
Organization Name:FIRST LOTUS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FALLS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LPCS RPTS NCC
Authorized Official - Phone:940-368-6660
Mailing Address - Street 1:2821 NEWBURYPORT AVE.
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-2113
Mailing Address - Country:US
Mailing Address - Phone:940-368-6660
Mailing Address - Fax:
Practice Address - Street 1:1701 N. GREENVILLE AVE.
Practice Address - Street 2:STE. 700
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081
Practice Address - Country:US
Practice Address - Phone:940-368-6660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15456101YP2500X
TX801285482251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty