Provider Demographics
NPI:1518443431
Name:DESERT LOTUS COUNSELING PLLC
Entity Type:Organization
Organization Name:DESERT LOTUS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:520-305-9735
Mailing Address - Street 1:7670 E BROADWAY BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-3440
Mailing Address - Country:US
Mailing Address - Phone:520-305-9735
Mailing Address - Fax:773-305-8310
Practice Address - Street 1:7670 E BROADWAY BLVD STE 106
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-3440
Practice Address - Country:US
Practice Address - Phone:520-305-9735
Practice Address - Fax:773-305-8310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-16860101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty