Provider Demographics
NPI:1629778626
Name:LOTUS COUNSELING & WELLNESS
Entity Type:Organization
Organization Name:LOTUS COUNSELING & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRIMARY LICENSED THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:MASKO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:267-468-5171
Mailing Address - Street 1:525 W BUTLER PIKE APT 16
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-5222
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:525 W BUTLER PIKE APT 16
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-5222
Practice Address - Country:US
Practice Address - Phone:267-468-5171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health