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Organization
LOTUS THEORY LLC
Active
Organization
LOTUS THEORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUSTINE ASTACIO LMHC (FOUNDER)
(917) 594-2497
Entity
Organization
Contact information
Practice address
434 MAMARONECK AVE STE 104, MAMARONECK, NY 10543-2698
(917) 594-2497
Mailing address
434 MAMARONECK AVE STE 104, MAMARONECK, NY 10543-2698
(917) 594-2497
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942772322
N/A
NY
Enumeration date
01/11/2023
Last updated
01/11/2023
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