Provider Demographics
NPI:1235412925
Name:LOTUS MANAGEMENT CONSULTING, INC.
Entity Type:Organization
Organization Name:LOTUS MANAGEMENT CONSULTING, INC.
Other - Org Name:LOTUS PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALESSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYCZKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-915-5748
Mailing Address - Street 1:18851 NE 29TH AVE
Mailing Address - Street 2:SUITE #740
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2808
Mailing Address - Country:US
Mailing Address - Phone:305-915-5748
Mailing Address - Fax:
Practice Address - Street 1:18851 NE 29TH AVE
Practice Address - Street 2:SUITE #740
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2808
Practice Address - Country:US
Practice Address - Phone:305-915-5748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10859101YM0800X
FLPY8229103TC0700X
FLPY8240103TC0700X
FLPY7937103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty