Lotus Waves, Ltd
Lotus Waves, Ltd is a Clinical Social Worker in Decatur, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3675 Sims DrDecatur, IL 62526-9203
Phone: (217) 412-3017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1639761398 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brooke Nicol — President · (217) 412-3017 |
| NPI enumerated | February 4, 2021 |
| Last updated in NPPES | February 4, 2021 |
| Certification date | February 4, 2021 |
| Mailing address | 3675 Sims Dr, Decatur, IL 62526-9203 |
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