Provider Demographics
NPI:1730891110
Name:LOTUS GROUP WELLNESS, LLC
Entity type:Organization
Organization Name:LOTUS GROUP WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:PARINELLO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:207-798-0899
Mailing Address - Street 1:14311 SETTLE DR
Mailing Address - Street 2:
Mailing Address - City:RIXEYVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22737-1918
Mailing Address - Country:US
Mailing Address - Phone:207-798-0899
Mailing Address - Fax:
Practice Address - Street 1:14311 SETTLE DR
Practice Address - Street 2:
Practice Address - City:RIXEYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22737-1918
Practice Address - Country:US
Practice Address - Phone:207-798-0899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty