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Organization
THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC
Active
Organization
THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ESALEN PSYD (EXECUTIVE DIRECTOR)
(831) 600-7103
Entity
Organization
Contact information
Practice address
2125 DELAWARE AVE STE A, SANTA CRUZ, CA 95060-5752
(831) 588-0497
(831) 600-7499
Mailing address
2125 DELAWARE AVE STE A, SANTA CRUZ, CA 95060-5752
(831) 588-0497
(831) 600-7499
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY24204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225329253
NPI
CA
Enumeration date
03/06/2012
Last updated
06/07/2023
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