| NPI | 1710835699 |
|---|---|
| Doing Business As | LOTUS PATCH |
| Entity Type | Organization |
| Authorized Contact | FREDERICK JUSTIN NIXON Managing Member 615-200-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-03-17 |
| Last Update Date | 2026-04-02 |