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Organization
BLUE LOTUS THERAPY SERVICES LLC
Active
Organization
BLUE LOTUS THERAPY SERVICES LLC
Active
Other names
Blue Lotus Therapy Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
711 E GRAND RIVER AVE, BRIGHTON, MI 48116-2474
(517) 896-3592
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
12/19/2023
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