Provider Demographics
NPI:1164167466
Name:LOTUS HEALING PSYCHOTHERAPY AND COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:LOTUS HEALING PSYCHOTHERAPY AND COUNSELING CENTER LLC
Other - Org Name:LOTUS HEALING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAHONY
Authorized Official - Middle Name:NATASHA
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-400-4555
Mailing Address - Street 1:133 WADSWORTH ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-2822
Mailing Address - Country:US
Mailing Address - Phone:401-400-4555
Mailing Address - Fax:401-400-4544
Practice Address - Street 1:133 WADSWORTH ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-2822
Practice Address - Country:US
Practice Address - Phone:401-400-4555
Practice Address - Fax:401-400-4544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty