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Organization
THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC
Active
Organization
THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC
Active
Parent organization
THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC
Other names
Luminous Healing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC
Authorized official
ELIZABETH PORTER (DIRECTOR OF BUSINESS DEVELOPMENT)
(831) 588-0497
Entity
Organization
Contact information
Practice address
611 MISSION ST, SANTA CRUZ, CA 95060-3612
(831) 600-7103
Mailing address
611 MISSION ST, SANTA CRUZ, CA 95060-3612
(831) 600-7103
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
10/02/2019
Last updated
02/01/2021
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