Provider Demographics
NPI:1174180079
Name:LOTUS RISING COUNSELING AND WELLNESS, LLC
Entity type:Organization
Organization Name:LOTUS RISING COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:CHOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-602-1508
Mailing Address - Street 1:6605 LONGSHORE ST
Mailing Address - Street 2:STE 240 #1040
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2774
Mailing Address - Country:US
Mailing Address - Phone:614-602-1508
Mailing Address - Fax:
Practice Address - Street 1:6605 LONGSHORE ST
Practice Address - Street 2:STE 240 #1040
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-2774
Practice Address - Country:US
Practice Address - Phone:614-602-1508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-26
Last Update Date:2024-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty