Organization
WHITE LOTUS COUNSELING AND PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE M THOMAS LPC (OWNER)
(203) 216-1716
Entity
Organization
Contact information
Practice address
39 SHERMAN CT, 2ND FLOOR, FAIRFIELD, CT 06824-5852
(203) 216-1716
Mailing address
19 LINCOLN ST, TRUMBULL, CT 06611-4610
(203) 216-1716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002279
CT
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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