Organization
LOTUS PSYCHOTHERAPY, TRAINING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYNETTA GIBBS (LCSW/CEO)
(203) 886-6706
Entity
Organization
Contact information
Practice address
63 E GATE LN, HAMDEN, CT 06514-2231
(203) 886-6706
Mailing address
63 E GATE LN, HAMDEN, CT 06514-2231
(203) 886-6706
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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