Organization
LOTUS COUNSELING SERVICES LLC
Active
Parent organization
LOTUS COUNSELING SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOTUS COUNSELING SERVICES LLC
Authorized official
JAMIE MARIE BONANUTO LPC (LICENSED PROFESSIONAL COUNSELOR)
(203) 494-3072
Entity
Organization
Contact information
Practice address
101 WHITE ST, WEST HAVEN, CT 06516
(203) 494-3072
Mailing address
101 WHITE STREET, WEST HAVEN, CT 06516
(203) 494-3072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001875
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000070595
—
CT
Enumeration date
09/28/2017
Last updated
09/28/2017
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