Provider Demographics
NPI:1982329884
Name:SIMPLY LOTUS HEALTH PLLC
Entity type:Organization
Organization Name:SIMPLY LOTUS HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:HYE
Authorized Official - Middle Name:SIL
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN
Authorized Official - Phone:860-365-9479
Mailing Address - Street 1:1224 MILL STREET, BUILDING B
Mailing Address - Street 2:SUITE 224
Mailing Address - City:EAST BERLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06023-1159
Mailing Address - Country:US
Mailing Address - Phone:860-365-9479
Mailing Address - Fax:878-201-5398
Practice Address - Street 1:1224 MILL STREET, BUILDING B
Practice Address - Street 2:SUITE 224
Practice Address - City:EAST BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06023-1159
Practice Address - Country:US
Practice Address - Phone:860-365-9479
Practice Address - Fax:878-201-5398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT8749OtherCT BOARD OF NURSING APRN LICENSE NUMBER