Provider Demographics
NPI:1295384709
Name:LOTUS COUNSELING CENTER
Entity Type:Organization
Organization Name:LOTUS COUNSELING CENTER
Other - Org Name:LOTUS COUNSELING CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:TREPAGNIER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:504-444-1149
Mailing Address - Street 1:1630 N TONTI ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2532
Mailing Address - Country:US
Mailing Address - Phone:504-444-1149
Mailing Address - Fax:
Practice Address - Street 1:1 GALLERIA BLVD, STE 1900
Practice Address - Street 2:#1903
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001
Practice Address - Country:US
Practice Address - Phone:504-444-1149
Practice Address - Fax:800-915-1248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-06
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty