Organization
LOTUS INTEGRATIVE THERAPY, LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI K PARRISH LCSW (CEO)
(720) 202-0394
Entity
Organization
Contact information
Practice address
605 B ST RM 4, SAN RAFAEL, CA 94901-3805
(510) 457-1817
Mailing address
605 B ST RM 4, SAN RAFAEL, CA 94901-3805
(510) 457-1817
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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