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Organization

BLUE LOTUS THERAPY LLC

Active
Other names
Revolution Counseling Inc
Organization subpart
No

Provider details

NPI number
Authorized official
DEANNA LASATER LPCC (COUNSELOR)
(575) 538-1127
Entity
Organization

Contact information

Practice address
10800 COMANCHE RD NE APT 203, ALBUQUERQUE, NM 87111-3966
(575) 538-1127
Mailing address
10800 COMANCHE RD NE APT 203, ALBUQUERQUE, NM 87111-3966
(575) 538-1127

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0086031
NM

Other

Enumeration date
09/04/2015
Last updated
09/04/2015
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