Organization
BLUE LOTUS THERAPY SERVICES LLC
Active
Other names
Blue Lotus Therapy Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
711 E GRAND RIVER AVE, BRIGHTON, MI 48116-2474
(517) 896-3592
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
12/19/2023
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