Organization
WHITE LOTUS THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE GARCIA LPC (OWNER)
(480) 229-8140
Entity
Organization
Contact information
Practice address
4115 E VALLEY AUTO DR STE 208, MESA, AZ 85206-4612
(480) 229-8140
Mailing address
4115 E VALLEY AUTO DR STE 208, MESA, AZ 85206-4612
(480) 229-8140
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/10/2024
Last updated
12/11/2024
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