Organization
LOTUS PSYCHOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA KOPP PSYD, LP (OWNER)
(248) 296-6579
Entity
Organization
Contact information
Practice address
31572 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(248) 296-6579
Mailing address
31572 SCHOOLCRAFT RD., LIVONIA, MI 48150
(248) 296-6579
(888) 390-4330
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401010461
MI
103T00000X
Psychologist
6301014332
MI
103TC0700X
Clinical Psychologist
Primary
6301014628
MI
Other
Enumeration date
04/21/2018
Last updated
08/10/2022
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