| Lotus Learning & Arts Center | |
|
417 Racetrack Rd Nw Ste C Fort Walton Beach FL 32547-4612 | |
| (251) 605-1017 | |
| Not Available |
| Full Name | Lotus Learning & Arts Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 417 Racetrack Rd Nw Ste C, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Jocelyn Thomas (BILLING/CREDENTIALING MANAGER) |
| Authorized Official Contact | 2012410079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Learning & Arts Center Po Box 259 Shalimar FL 32579-0259 Ph: () - | Lotus Learning & Arts Center 417 Racetrack Rd Nw Ste C Fort Walton Beach FL 32547-4612 Ph: (251) 605-1017 |
| NPI Number | 1255912812 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255912812 | NPI | - | NPPES |
| 020786000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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