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Lotus Recovery Center Llc
Family Nurse Practitioner in Malden, West Virginia
NPI 1902407034

Lotus Recovery Center Llc is a Family Nurse Practitioner based in South Charleston, WV and is specialized in Family. Lotus Recovery Center Llc practices in Malden, WV. The NPI Number for Lotus Recovery Center Llc is 1902407034 and holds a License No. (West Virginia).

The current practice location address for Lotus Recovery Center Llc is 4202 Malden Dr, Malden, WV and can be reached out via phone at 304-928-5144.

Location: 4202 Malden Dr, Malden, WV, 25303-0413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902407034
Provider Name
Lotus Recovery Center Llc
Credential
Provider Entity Type
Organization
Address
4202 Malden Dr, Malden, WV, 25303-0413
Phone Number
304-928-5144
Fax Number
Provider Enumeration Date
11/04/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316593270 01 WV JESSICA TOATH-CALLAHAN
1902407034 05 WV
DP00945150 01 WV CHELSEA LEIGH CARTER LICSW
institution
Provider Business Practice Location Address Details
Address
4202 Malden Dr
City
Malden
State
West Virginia
Zip
25306-6442
Phone Number
304-928-5144
Fax Number
person
Provider Business Mailing Address Details
Address
4202 Malden Dr
City
Malden
State
West Virginia
Zip
25306-6442
Phone Number
304-928-5144
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
()
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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