Organization
HEALING LOTUS COUNSELING
Active
Other names
Kelly Broderick
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A BRODERICK LICSW (OWNER / CLINICAL THERAPIST)
(857) 293-1321
Entity
Organization
Contact information
Practice address
6 LIBERTY SQ # 2462, BOSTON, MA 02109-5800
(857) 293-1321
Mailing address
6 LIBERTY SQ # 2462, BOSTON, MA 02109-5800
(857) 293-1321
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/14/2022
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