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NPI Code Detail

MEDICARE: BLOSSOMED LOTUS LLC

MEDICARE: BLOSSOMED LOTUS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1568341618
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLOSSOMED LOTUS LLC
Provider Business Mailing Address
First Line : 320 BOSTON POST RD STE 180
Second Line :
City : DARIEN
State : CT
Zip : 06820-3665
Country : US
Telephone Number : 877-735-6887
Fax Number :
Provider Business Practice Location Address
First Line : 320 BOSTON POST RD STE 180
Second Line :
City : DARIEN
State : CT
Zip : 06820-3665
Country : US
Telephone Number : 877-735-6887
Fax Number :
Authorized Official
Title or Position : CLINICIAN
Name : NATHALIE ALABRE
Credential : LPC
Telephone Number : 877-735-6887
Provider Enumeration Date : 09/01/2025
Last Update Date : 09/01/2025

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Directions to “BLOSSOMED LOTUS LLC ” Practice Location

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