| NPI | 1083388128 |
|---|---|
| Doing Business As | GREEN LOTUS PROFESSIONAL COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | JENELLE K LEIB Lpc 989-572-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |