Organization
THE LOTUS COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH BUTLER (CREDENTIALING MANAGER)
(480) 204-2477
Entity
Organization
Contact information
Practice address
2222 S DOBSON RD STE 300, MESA, AZ 85202-6490
(314) 488-6207
Mailing address
2518 S 120TH DR, AVONDALE, AZ 85323-7653
(314) 488-6207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15934
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174981500
IND NPI
AZ
Enumeration date
03/14/2016
Last updated
03/14/2016
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